Wound pressure relief pad

Abstract

The present application relates to a pad for at least partial pressure relief of a heel wound, to a corresponding sheet of foldable pad material, to a template, to a kit and to a corresponding use and to a method for producing the pad. The pad comprises: a first section for application to the distal shank in the Achilles tendon region; and a second section adjacent to the first section and for application to the heel wherein the second section is folded towards the first section in a section transition region such that the second section is configured to extend on the heel and along the heel towards the sole; wherein the first and / or second section of the pad is configured to be able to form a recess in the wound region by a cutting tool in order to at least partially protect the wound from pressure.

Description

Technical Field

[0001] This application relates to a pad for at least partial pressure relief of heel wounds, a corresponding foldable pad material sheet, a template, a kit, and the corresponding uses and methods of manufacturing the pad. Background Technology

[0002] Pressure ulcers, also known as bedsores, are a common condition characterized by localized damage to the skin and / or subcutaneous tissue caused by prolonged pressure and / or shear forces, thereby impairing blood circulation to the skin. Heel pressure ulcers are the second most common type of pressure ulcer in Europe. Complications of febrile pressure ulcers may include limited mobility and self-care ability, prolonged active lesions, and even death due to sepsis.

[0003] For the treatment of fever-induced pressure ulcers, the goal may be to increase the contact area to reduce contact pressure, or to relieve pressure on sensitive areas.

[0004] Figure 1 A previously commonly used method for relieving pressure on febrile bedsores is illustrated. This method can be achieved through appropriate support of the foot (1000) (sole 1003) on a medical shoe or patient bed. The goal of this conventional method is to provide complete and free support to the entire affected heel (1002) with the wound (1001) of the febrile bedsore. To achieve this, pressure is transferred to, for example, the distal calf (1004) of the Achilles tendon region, for example, through a support (1005). However, due to the transfer of pressure to the distal calf of the Achilles tendon region, discomfort symptoms may occur in the Achilles tendon. Therefore, although the affected heel is completely relieved of pressure, pressure is concentrated in another area of ​​the foot, triggering new clinical symptoms in that area.

[0005] Conventional methods can also lead to limitations in patient mobility and self-care abilities because they are either performed in bed, thus binding the patient to the bed, or in medical shoes, which restrict mobility, cause discomfort, and even increase the risk of falls. Therefore, it has been shown that the failure of patients to use these medical shoes regularly and adequately has resulted in interruptions in treatment continuity, slow healing, or even complete failure to heal. Furthermore, these medical shoes are often quite expensive. Summary of the Invention

[0006] Based on the above-mentioned prior art, the purpose of this application is to provide an implementation method that has less restriction on mobility and can more effectively relieve pressure on heel wounds.

[0007] This application achieves this objective through a pad having the features of claim 1 or 5, a pad material sheet having the features of claim 8, a template having the features of claim 11, a kit having the features of claim 22, use according to claim 26, and a method having the features of claim 27. Preferred embodiments are described in the dependent claims, the specification, and the drawings.

[0008] According to the solution of the present invention, a pad for at least partial pressure relief of a heel wound includes: a first segment for application to the distal lower leg in the Achilles tendon region; and a second segment adjacent to the first segment for application to the heel, wherein the second segment is folded relative to the first segment in a segment transition region such that the second segment is configured to be on the heel and extend along the heel toward the plantar surface; wherein the first segment and / or the second segment of the pad is configured to be capable of forming a recess in the wound region by a cutting tool to at least partially relieve the wound from pressure.

[0009] Because the pad according to the invention has a second segment adjacent to the first segment and for application to the heel, wherein the second segment is folded relative to the first segment in the segment transition region, such that the second segment is configured to extend on the heel and along the heel toward the sole, the heel is included in the pressure absorption range to redistribute pressure, rather than being completely excluded, unlike previously used methods. However, because the first and / or second segments of the pad are configured to form recesses in the wound area by a cutting tool to at least partially relieve the wound from pressure, pressure relief for the heel wound is achieved, preferably complete pressure relief, which can be adjusted according to the location and size of the wound. However, because pressure relief for the heel wound does not come at the expense of the distal calf in the Achilles tendon region, but rather because the heel region outside the wound also absorbs pressure to decompress the wound, pressure relief is achieved in a way that optimally redistributes pressure to the foot, thus making the overall pressure relief more effective. Because the pad has a first segment for application to the distal calf in the Achilles tendon region, the risk of pad slippage is reduced, and additional protection is provided for the Achilles tendon.

[0010] To effectively incorporate the heel into the pressure absorption range for pressure relief in the context of pressure redistribution, the second segment is folded relative to the first segment in the segment transition region, such that the second segment is configured to extend over and along the plantar region of the calcaneus. A further contribution to pressure redistribution is achieved by folding the segments of the pad relative to each other in the segment transition region, such that the first and / or second segments are configured to extend over and along the dorsal end region of the calcaneus, particularly the calcaneal tuberosity. A further, particularly significant contribution to pressure redistribution is achieved by folding the segments of the pad relative to each other in the segment transition region, such that the pad material preferably extends continuously from the distal calf of the Achilles tendon region through the dorsal end of the calcaneus (particularly the calcaneal tuberosity) to the heel skin of the plantar region of the calcaneus.

[0011] For large soft tissue defects or ulcers located above the calcaneus, particularly in the posterior part of the calcaneal plantar region, it is recommended not to use the aforementioned folded pad, but to use another pad to at least partially relieve pressure on such large wounds. This pad comprises: a first segment for application to the distal lower leg in the Achilles tendon region and the dorsal end region of the calcaneus, particularly the calcaneal tuberosity; and a second segment, preferably separated from the first segment, wherein the second segment is arranged relative to the first segment as follows: The second section is configured to be on and extend along the heel, particularly in the (anterior) plantar region of the calcaneus, and towards the sole of the foot. The area containing at least part of the wound should be kept without padding material so that the wound is at least partially protected from pressure.

[0012] Therefore, for this type of injury, the heel can still be included in the pressure redistribution as much as possible for the purpose of decompression, while protecting the Achilles tendon and maintaining the stability of the pad.

[0013] Because the object of this invention is a pad whose segments are folded and arranged relative to each other, and particularly relative to each other, and these segments conform to the foot, the pad can become part of a bandage, which brings many additional advantages. Therefore, the pad can achieve effective pressure relief for feverish pressure ulcers 24 hours a day, 7 days a week, with low patient compliance requirements. Furthermore, this pressure relief is independent of positioning measures. This allows for faster and more complete treatment success. Since the pad can become part of a bandage due to the above characteristics, it hardly restricts mobility, and actual pressure relief does not require medical shoes. In addition, the pad does not interfere with wound care, as it can be applied over a wound bandage. The pad can be applied and secured to the foot in a simple and stable manner.

[0014] Therefore, according to the solution of the present invention, a foldable pad material sheet is also proposed, the sheet comprising: a first segment of foldable pad material and a second segment of foldable pad material adjacent to the first segment; wherein the length and shape of the boundary of each segment are configured such that the sheet forms the pad of the present invention when one of the two segments is folded or arranged relative to the other segment in the segment transition region.

[0015] Simple and economical production aspects were also considered in the pads and sheets.

[0016] Therefore, according to the solution of the invention, a template is also proposed, comprising: a predetermined cutting line; a first section of the template at least partially defined by a portion of the predetermined cutting line; and a second section of the template at least partially defined by another portion of the predetermined cutting line, wherein the second section is adjacent to the first section; and wherein the length and shape of the predetermined cutting line are configured such that when the foldable pad material is cut along the predetermined cutting line and preferably subsequently folded, the pad of the invention is formed. The template may be made of paper, cardboard, or other materials. The template may also be a digital object (e.g., a document for printing and / or downloading). The template may extend beyond the cutting line or be outlined or defined by the cutting line.

[0017] According to the solution of the present invention, a kit is also proposed, comprising: the template of the present invention; and a (foldable) pad material sheet, preferably the (foldable) pad material sheet of the present invention.

[0018] The method of the present invention also embodies the ease of manufacturing the pad. The method of the present invention for manufacturing a foot heel pad includes: providing a sheet of (foldable) pad material of the present invention; applying a first segment of the pad material to the distal calf of the Achilles tendon region; folding a second segment of the pad material relative to the first segment in a transition region of the segment; applying the second segment of the pad material to the heel such that the second segment extends on the heel and along the heel toward the sole. Application can be performed on a non-weight-bearing heel, particularly on a non-weight-bearing calcaneus, for example when the patient suspends the heel or does not apply load to the calcaneus. The method may further include: marking positions on the applied first and / or second segments of the pad material, wherein the marked positions correspond to the location of a wound on the heel; removing the marked pad material from the foot; and forming a recess at the marked position of the removed pad material, wherein the recess is sized such that it can at least partially or completely expose the wound. Preferably, providing the foldable pad material sheet may include: placing a template of the present invention on the pad material; and cutting the pad material along a predetermined cutting line of the template.

[0019] In summary, the inventors have found that abandoning the previously established approach for pressure relief in febrile bedsores can result in more effective pressure relief of the wound, while reducing restrictions on mobility and providing many other additional advantages, such as simpler and more economical production.

[0020] According to a preferred aspect, a portion of the circumference of the second section of the pad is configured to releasably contact the first section of the pad, particularly a portion of the circumference of the first section, which simultaneously improves the stability of the pad on the foot and achieves a more comprehensive pressure distribution.

[0021] According to a preferred aspect, the pad has fixation units in the first and / or second segment regions for attachment to the distal calf skin, which improves the stability of the pad on the foot (especially during walking). Preferably, the fixation units are adhesive. The pad and / or pad material may be made of breathable and / or self-adhesive materials. The pad and / or pad material may be made of cotton wool, nonwoven fabric, felt, foam, silicone (e.g., a two-component system), spacer fabric (3D textiles), gel, 3D printed materials, rubber pads, synthetic leather, synthetic skin, leather, natural skin, textile structures, inflatable pad materials, pneumatically controlled materials, and / or microfibers. The thickness of the entire pad material applied to the foot is preferably at least 5 mm, 6 mm, 7 mm, 8 mm, 9 mm, 10 mm, 11 mm, 12 mm, 13 mm, 14 mm, 15 mm, 16 mm, 17 mm, or 18 mm, but other values ​​are also possible (depending on the patient's weight and the compressibility of the pad material). The applied padding material thickness can be achieved by using a single layer of padding material having a thickness corresponding to these minimum thicknesses (e.g., 10 mm or 15 mm). Alternatively, multiple layers of padding material can be applied to the foot and stacked on top of each other (e.g., folded layers). For example, a double layer of padding material can be applied, where the thickness of each layer corresponds to half (e.g., 5 mm) of one of the aforementioned minimum thicknesses (e.g., 10 mm). For example, a triple layer of padding material can be applied, where the thickness of each layer corresponds to one-third (e.g., 5 mm) of one of the aforementioned minimum thicknesses (e.g., 15 mm).

[0022] These characteristics, individually and in combination, have a beneficial impact on wearing comfort, pressure redistribution, and simple and economical production.

[0023] Preferably, for example, the first and / or second segments of the pad, sheet, or template are sized to be applied to at least a portion of the heel, preferably to at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, or 90% of the heel surface, or even the entire heel. This allows at least a portion of the heel to absorb pressure during pressure redistribution when relieving wound pressure. This results in pressure relief of the wound through more comprehensive pressure redistribution without increasing the burden on the Achilles tendon.

[0024] According to preferred embodiments, these features can be implemented individually and in combination, with the pad, sheet, or template gradually narrowing at the transition from the second segment to the first segment. The extension of the second segment in a direction perpendicular to the longitudinal axis of both the first and second segments can be greater than or equal to the extension of the first segment in that direction. The maximum width of the first segment perpendicular to the longitudinal axis can be less than or equal to the maximum width of the second segment perpendicular to the longitudinal axis. These characteristics, individually and in combination, particularly simplify the process of folding and positioning the two segments relative to each other. Furthermore, they better achieve a smoother transition of the folded segment from the Achilles tendon region to the distal calf, such as... Figure 3B and 3C As shown.

[0025] The following also describes, illustrates, and advocates several preferred shapes and sizes for the first and / or second segments of the template, sheet, and pad, which enable the pad to be suitable for almost all foot sizes, easy to place on the foot, and not prone to slipping, thereby providing the necessary stability, protecting the Achilles tendon when needed, and ensuring the most optimal pressure redistribution possible.

[0026] Preferably, for example, the pad, sheet, or template may have a tree-like or mushroom-like shape, or other shapes with rounded or wavy ends of a second segment, which further reduces restrictions on the patient's mobility and improves wearing comfort and stability. A rounded second segment (e.g., a crown or mushroom cap) has a better heel fit shape and can be quickly applied to pressure ulcers. Furthermore, rounded second segments are easier to manufacture and generate less waste.

[0027] The first and / or second sections may each have a polygonal or rectangular shape, which facilitates the alignment and positioning of the pad on the foot.

[0028] Preferably, for example, the maximum width of the first segment perpendicular to the longitudinal axis can be 3-15cm, 4-14cm, 4-13cm, 4-11cm, 4-8cm or about 5cm, and / or the maximum length of the first segment along the longitudinal axis can be 3cm to 20cm, 5cm to 18cm, 8cm to 17cm, 9cm to 16cm, 9cm to 12cm or about 10cm. These dimensions, individually and in combination, can achieve protection of the Achilles tendon without the need for padding material in the distal calf region, which is unnecessary or even hinders folding and / or fixation.

[0029] Preferably, for example, alternatively or additionally, the maximum width of the second section perpendicular to the longitudinal axis may be 10-20cm, 11-19cm, 12-17cm, 13-16cm, 14-15.5cm or about 15cm, and / or the maximum length of the second section along the longitudinal axis may be 5cm to 20cm, 7cm to 18cm, 8cm to 17cm, 8cm to 16cm, 9cm to 15cm, 9cm to 12cm or about 10cm. These dimensions, individually and in combination, are conducive to achieving comprehensive pressure redistribution by incorporating the heel.

[0030] If this brief description of the present disclosure describes features not listed in the claims, such features are not essential features; that is, such features are not required to be included in the claims for the purpose of describing the present disclosure, but are particularly prominent preferred embodiments of the claimed invention and can be combined with any claim and may be combined with each other as needed. Attached Figure Description

[0031] Figure 1 This illustration schematically demonstrates a common method in the prior art for relieving pressure on febrile bedsores.

[0032] Figures 2A-2E A unit for relieving pressure on heel wounds according to the present invention is illustrated schematically.

[0033] Figures 3A-3E The method for producing a heel wound pressure relief pad according to the invention is illustrated schematically, as well as the means according to the invention used in this process.

[0034] Figure 4 An example of a template according to the present invention is shown.

[0035] Figures 5 to 11 An example of a foldable pad material sheet (or support) according to the present invention is shown.

[0036] Figure 12 The method for producing a heel wound pressure relief pad according to the present invention is illustrated schematically.

[0037] The same parts shown in several figures are labeled with the same reference numerals. Detailed Implementation

[0038] This application relates to a pad for at least partial pressure relief of heel wounds, a corresponding foldable pad material sheet, a template, a kit, and the corresponding uses and methods of manufacturing the pad.

[0039] Figures 2A-2E A unit for relieving pressure on heel wounds according to the present invention is illustrated schematically.

[0040] Figure 2A The image shows a foot 1000, including the distal calf 1004 of the Achilles tendon region, the sole 1003, and a wound 1001 in the heel 1002 region. Due to the units (pads, sheets, templates, kits), uses, and methods according to the invention, a pad 100 for at least partial pressure relief of the wound 1001 at the heel 1002 is applied to the foot 1000 (see [reference]). Figure 2B This allows the wound 1001 to be at least partially relieved of pressure through the recess 104 on the pad 100 located in the area of ​​the wound 1001, while redistributing the pressure to the area on the heel 1002 located outside the wound 1001.

[0041] For this purpose, a foldable pad material sheet 10 according to the present invention is used, such as Figure 2C The tree or mushroom shape is illustrated in the example. Variables L1, L2, B1, B2, K2, and R1 can have, for example, the following: Figures 4 to 6 The values ​​are as described. Sheet 10 includes a first segment 101 of foldable pad material and a second segment 102 of foldable pad material adjacent to the first segment; wherein the length and shape of the boundaries of each segment 101, 102 are configured such that when one of the two segments 101, 102 is folded relative to the other segment 101, 102 in a segment transition region, sheet 10 forms pad 100.

[0042] The pad 100 formed in this way Figure 2D and 2E The details are shown in more detail below. The pad 100 includes a first segment 101 for application to the distal lower leg 1004 of the Achilles tendon region, and a second segment 102 adjacent to the first segment for application to the heel 1002, wherein the second segment 102 is folded relative to the first segment 101 in a segment transition region such that the second segment 102 is configured to extend on the heel 1002 and along the heel toward the sole 1003; wherein the first segment and / or the second segment 102 of the pad 100 are configured to form a recess 104 in the region of the wound 1001 by means of a cutting tool (e.g., scissors) so as to at least partially protect the wound 1001 from pressure.

[0043] like Figure 2D and 2E As shown, a portion of the circumference of the second segment of the pad can be configured to releasably contact the first segment of the pad, specifically a portion of the circumference of the first segment.

[0044] Figure 2EAs shown, the pad may have a first fixing unit 105 in the region of the first segment 101 for securing the first segment 101 to the skin of the distal calf 1004 in the Achilles tendon region. The fixing unit 105 may comprise adhesive, preferably one or more adhesive strips, one or more hook-and-loop fasteners, and / or one or more adhesive tapes. Figure 2E As shown, the adhesive, such as adhesive tape or adhesive strip, may extend transversely to the longitudinal axis of the first segment 101 of the pad 100.

[0045] Figures 3A-3E The illustration schematically shows the use and method of producing the heel wound pressure relief pad according to the invention, and the means according to the invention used in this case.

[0046] To produce the pad 100 according to the invention, a kit 500 according to the invention can be used, the kit comprising: a template 1 according to the invention; and a foldable pad material sheet 10, preferably a sheet according to the invention. Figures 3A-3D As shown, kit 500 may further include cutting tools, such as scissors (paper scissors) 501, and / or pins 502.

[0047] The method for producing a foot heel pad 100 according to the present invention may include the following steps.

[0048] First, in an optional upstream step, the template 1 according to the invention can be placed on the pad material sheet 10 of the kit 500 (an uncut sheet is not shown), and the pad material sheet 10 is cut along a predetermined cutting line of the template 1 according to the invention using a cutting tool 501. This yields the cut pad material sheet 10 (see [link to kit 500]). Figure 3A However, the figure shows a recess 104, which has the same shape and size as the template 1. This provides a foldable pad material sheet 10 according to the invention for the pad 100.

[0049] A wound dressing 2000 is applied to the heel, and the wound (ulcer or bedsore) is marked with a marker 2001 using one of the pins 502 of the kit 500 (see [link]). Figure 3A ).

[0050] Then the first segment 101 of the cut piece 10 is applied to the distal calf 1004 of the Achilles tendon region (see...). Figure 3B The second segment 102 of piece 10 is folded relative to the first segment 101 in the segment transition region before, simultaneously, or after (see...). Figure 3B The second segment 102 of plate 10 is also applied to the heel, such that the second segment 102 extends on the heel and along the heel toward the sole 1003 (see...). Figure 3B ).

[0051] Preferably, the first segment 101 and / or the second segment 102 of the pad 100 are sized to be applicable to at least a portion of the heel 1002, preferably to at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, or 90% of the heel surface, or even the entire heel, preferably simultaneously. This allows at least a portion of the heel to absorb pressure during pressure redistribution when relieving wound pressure. This results in pressure relief of the wound under more comprehensive pressure redistribution without increasing the burden on the Achilles tendon.

[0052] exist Figure 2C as well as Figures 4 to 11 In the context of this, various preferred shapes and sizes of the first and / or second segments of the template, sheet, and pad are described and illustrated. These shapes and sizes each enable the pad to be adapted to almost any foot size, easy to place on the foot, and not prone to slipping, thereby providing the necessary stability, protecting the Achilles tendon as needed, and ensuring the most optimal pressure redistribution possible, while incorporating the healthy portion of the heel.

[0053] For example, preferably, the pad may be tree-shaped or mushroom-shaped, or other shapes having a second segment 102 with rounded ends (in the foot 1003 region) (such as...). Figure 3B and 3C (As shown), this further reduces restrictions on the patient's mobility and improves wearing comfort and stability.

[0054] According to a preferred aspect, the pad, sheet, or template gradually narrows at the transition from the second segment to the first segment. Alternatively or additionally, the extension of the second segment in a direction perpendicular to the longitudinal axis of both the first and second segments may be greater than or equal to the extension of the first segment in that direction. Alternatively or additionally, the maximum width of the first segment perpendicular to the longitudinal axis may be less than or equal to the maximum width of the second segment perpendicular to the longitudinal axis. These characteristics, individually and in combination, particularly effectively simplify the process of folding the two segments relative to each other. Furthermore, a smoother transition of the folded segment from the Achilles tendon region to the distal calf is better achieved, such as... Figure 3B and 3C As shown. For example, a portion of the circumference of the second segment of the pad can be configured to releasably contact the first segment of the pad, specifically a portion of the circumference of the first segment, such as... Figure 3B and 3C As shown by reference numeral 1004 in the attached figure.

[0055] See also Figure 3BAfter the pad is applied to the foot, one of the pins 502 of the kit 500 is used to mark positions 105 on the first and / or second sections 102 of the applied pad material, wherein the marked positions 105 on the pad material correspond to the positions of the markings 2001 or wounds 1001 on the heel. For example, as Figure 3B As shown, mark 2001 is still faintly visible through the pad material of pad 100. The marked pad material is removed from the foot, and a recess 104 is formed at the marked position 105 of the removed pad material using the cutting tool 501 of kit 500 (see...). Figure 3A Using cutting tool 501, recess 104 can be cut into pad material, wherein recess 104 is sized such that when pad 100 is again shaped according to... Figure 3B When applied to the feet (see) Figure 3C The recess 104 can at least partially or completely expose the wound or mark 2001. (e.g.) Figure 3C As shown, the first segment 101 of the pad 100 abuts against the distal calf 1004 of the Achilles tendon region, while the second segment 102 folds relative to the first segment 101 and extends over the heel toward the sole 1003. In this state of the pad 100, the recess 104 overlaps with the mark 2001 of the wound dressing 2000, thereby at least partially exposing the mark 2001, particularly the wound beneath, in order to at least partially protect the wound from pressure (see...). Figure 3C The recess 104 should preferably be large enough that the padding material is at least 1-3 mm away from the mark 2001 or the edge of the wound, preferably at least 2 mm.

[0056] The pad can then be secured to the foot using the securing unit of kit 500 (such as tape or plaster). In this case, the sole of the foot should be under tension, while the Achilles tendon should be tension-free. The pad dressing 503 of kit 500 (optionally equipped with a tubular dressing and optional soft padding (both optionally provided in kit 500)) can then be applied to the foot near the pad (see [link to kit]). Figure 3D Dressing shoes can also be used as an additional option (optional in kit 500). However, even without dressing shoes, patients can stand and walk again, as... Figure 3E As shown.

[0057] Figure 12 The method for producing a heel wound pressure relief pad according to the present invention is illustrated schematically. Figure 12 An exemplary sequence of the steps is also shown based on the arrows shown.

[0058] Method 1200 for producing foot heel pads may include the following operations.

[0059] First, the method includes providing a foldable pad material sheet 1201 according to the invention. Thereafter, a first segment of the pad material is applied to the distal calf 1204 of the Achilles tendon region, and a second segment of the pad material is applied to the heel 1205, such that the second segment extends on the heel and along the heel toward the plantar surface, wherein it is irrelevant which of the two segments is applied first or simultaneously. The pad material of the second segment is folded relative to the first segment in the segment transition region, and this folding may be part of steps 1201, 1204, or 1205. Thus, the pad can be applied to the foot in a folded or initially unfolded state. However, folding is performed no later than when the segment is applied to the foot. The positions on the applied first and / or second segment of the pad material are marked, wherein the marked positions correspond to the locations of wounds on the heel. Marking may be part of step 1205 or an additional step after step 1205 and before step 1206. Subsequently, the marked pad material is removed from the foot 1206, and a recess 1207 is formed in the pad material at the marked position of the removed pad material, wherein the recess is sized such that it can at least partially or completely expose the wound or protect the wound from pressure.

[0060] The provision of the foldable pad material sheet 1201 may also optionally include: placing a template according to the invention on the pad material 1202; and cutting the pad material 1203 along a predetermined cutting line of the template. Cutting the pad material along the predetermined cutting line of the template may optionally include: cutting the pad material along a predetermined cutting line around a first section of the template to cut out a first section of the sheet; and cutting the pad material along a predetermined cutting line around a second section of the template to cut out a second section of the sheet.

[0061] For large soft tissue defects or ulcers located above the calcaneus, particularly in the posterior part of the calcaneal plantar region, it is recommended not to use the aforementioned folded pad, but to use another pad to at least partially relieve pressure on such large wounds. This pad comprises: a first segment for application to the distal lower leg in the Achilles tendon region and the dorsal end region of the calcaneus, particularly the calcaneal tuberosity; and a second segment, preferably separated from the first segment, wherein the second segment is arranged relative to the first segment as follows: - The second section is configured to be on and extend along the heel, particularly in the (anterior) plantar region of the calcaneus, and towards the sole of the foot. - The area containing at least part of the wound is kept without padding material so that the wound (1001) is at least partially protected from pressure.

[0062] Therefore, for this type of injury, the heel can still be included in the pressure redistribution as much as possible for the purpose of decompression, while protecting the Achilles tendon and maintaining the stability of the pad.

[0063] For this type of pad, method 1200 is performed in the same manner, with some modifications as follows. Using the template according to the invention described herein, the pad material sheet is first cut along the template cutting line to form cut sections 102, 102 of the sheet 10. Then, a recess 104 is cut into the sheet 10 at the transition from the first section 101 to the second section 102, wherein the cutting of the recess 104 may also cause the two sections 101, 102 to separate from each other. It is also conceivable to separate the first separating section 101 from each other, preferably by means of longitudinal direction L1 (see Figure 4-11 The section is cut into two, three, or more parts (and then preferably arranged along the B1 direction, see below). Figure 4-11 The padding material of the first segment (or all its separated portions) is then applied to the distal calf of the Achilles tendon region of the preferred non-weight-bearing heel (e.g., a free-arranged, non-weight-bearing heel of the calcaneus). Application of the first segment is preferably performed in the dorsal end region of the calcaneus, particularly at the calcaneal tuberosity. The padding material of the second segment 102, separated from the first segment 101, is then arranged and applied to the preferred non-weight-bearing heel, such that the second segment lies on and extends along the heel, particularly in the plantar region of the calcaneus, and toward the plantar surface. This method also allows for the preparation of pressure-relieving pads for such larger wounds located posterior to the plantar region of the calcaneus.

[0064] Figure 4 An example template according to the invention is shown, illustrated herein in a tree (or mushroom) shape.

[0065] Template 1 includes: a predetermined cutting line; a first section 101 of the template, at least partially defined by a portion of the predetermined cutting line; and a second section 102 of the template, at least partially defined by another portion of the predetermined cutting line, wherein the second section is adjacent to the first section; and wherein the length and shape of the predetermined cutting line are configured such that when the foldable pad material is cut along the predetermined cutting line and subsequently folded, a pad according to the invention is formed. The template may be made of paper, cardboard, or other materials. The template may extend beyond the predetermined cutting line.

[0066] The edges or contours of the form shown constitute a predetermined cutting line, indicated by the scissors shown. The first section 101 of template 1 extends L1 from the width B1 at the base of the trunk to the width B2 at the beginning of the crown, where the second section 102 of template 1 begins. The junction of the trunk and crown is a transition from the first section 101 to the second section 102. The second section 102 extends L2 from the transition to the top of the crown, wherein the crown edge may have different radii R1 to R3 in different sections. L1 and L2 may together form a longitudinal axis. The crown may protrude from the trunk or the first section 101 by an edge length K2. This is an exemplary form of the template according to the invention; other forms are also possible, with different forms offering different advantages for the mat according to the invention. Figure 4In this context, the following can be exemplarily applied: B1=K2=4.8cm, L1=L2=9.5cm. The radii of curvature R1, R2, and R3 (i.e., the radii of the curvature circles at each point or segment of the second segment 102 (e.g., the canopy or mushroom cap) can be partially or completely the same, or all different. Preferably, each of the radii of curvature R1, R2, and R3 is between 3cm and 4cm, and particularly preferably the following: R1=3.6cm, R2=3.7cm, R3=3.7cm.

[0067] Figures 5 to 11 An example of a template 1 or sheet 10 according to the invention is shown. For template 1, the edges, perimeter, or outline of the form shown are predetermined cutting lines. For sheet 10, these lines are the outline of sheet 10. The form and dimensions shown can be those of template 1 or sheet 10 according to the invention, for example, after sheet 10 has been cut along predetermined cutting lines of template 1. Here, the first segment 101 also extends by length L1, and the second segment 102 extends by length L2. L1 and L2 may together form a longitudinal axis.

[0068] Figure 5 An exemplary form of template 1 or sheet 10 according to the invention is shown, corresponding to a tree or mushroom. Such sheet 10 may be along the edge of a padding material sheet. Figure 4 The result after cutting along the predetermined cutting lines according to the template of the present invention. Figure 5 In this context, the following can be applied by way of example: B1=K2=4.8cm, L1=L2=9.5cm, B2=14.4cm; or B1=K2=6cm, L1=L2=11cm, B2=18cm, and the radius of curvature R1 can be between 3cm and 4cm, preferably 3.6cm. Similarly, the crown edge or mushroom cap can have one or more parts with different radii R1.

[0069] Figure 6 Another exemplary form of the template 1 or the piece 10 according to the invention is shown, corresponding to a pointed tree or a pointed mushroom. Figure 6 In this example, the following can be applied: B1=5cm, K2=6cm, L1=L2=12cm, B2=17cm. The radii of curvature R1, R2, and R3 (i.e., the radii of the curvature circles at each point or segment of the second segment 102 (e.g., the canopy or mushroom cap) can be partially the same (e.g., R1=R2, R3 but different from R1 and R2), all the same, or all different. Preferably, each radius of curvature R1, R2, and R3 is between 1cm and 6cm. The edge of the canopy or the mushroom cap can have two, three, or more partially different radii R1, R2, and R3.

[0070] Figure 7Another exemplary form of the template 1 or the piece 10 according to the invention is shown, corresponding to a tree or mushroom with a wavy crown or mushroom cap. Figure 7 The following can be used as examples: B1=5cm, K2=5cm, L1=L2=10cm, B2=15cm. The crown edge or mushroom cap can be wavy, and each section can be circular and straight, with these circular and straight sections alternating.

[0071] Figure 8 The illustration shows a simpler exemplary form of template 1 or piece 10 according to the invention, corresponding to a tree or mushroom with a rectangular crown or mushroom cap. Figure 8 The following can be used as examples: B1=5cm, K2=5cm, L1=L2=10cm, B2=15cm. The crown edge or mushroom cap is straight.

[0072] Figure 9 Another exemplary form of the template 1 or the piece 10 according to the invention is shown, which differs from the tree or mushroom shape. Figure 9 In this context, the following examples may be used: B1=B2=13cm, K 2,2 =11cm, K 2,1 =K 1,1 =5cm, K 1,2 =7cm, L1=11cm, L2=15cm, B2=15cm.

[0073] Figure 10 Another exemplary form of the template 1 according to the invention or the piece 10 according to the invention is shown. Figure 10 In this context, the following examples may be used: B1=11cm, B2=14cm, K2=6cm, K 1,1 =K 1,2 =8cm, L1=12cm, L2=13cm, R1=4.9cm.

[0074] Figure 11 Another exemplary form of the template 1 according to the invention or the piece 10 according to the invention is shown. Figure 11 The following examples are applicable: B1=7cm, B2=13cm, K2=5cm, L 1,1 =2cm, L 1,2 =9cm, L1=L 1,1 +L 1,2 Furthermore, the following can be applied by way of example: L2 = 11 cm. The radii of curvature R1, R2, R3, and R4 (i.e., the radii of the curvature circles at each point or section of the first or second segment) may be partially or completely the same, or all different. Preferably, each radius of curvature R1, R2, and R3 is between 1 cm and 6 cm.

[0075] The methods described herein, which differ from those previously used in the art, individually and in combination, achieve complete pressure relief and optimal pressure distribution for heel ulcers, while reducing loss of mobility, exhibiting high stability and low cost.

[0076] Several embodiments of this disclosure have been described. This application may (alternatively) be described by aspects numbered below.

[0077] aspect 1. A pad for at least partial pressure relief of a heel wound, the pad comprising: For application to the first segment of the distal calf in the Achilles tendon region; and A second section adjacent to the first section is applied to the heel, wherein the second section is folded relative to the first section in the section transition area, such that the second section is configured to be on the heel and extend along the heel toward the sole of the foot; The first and / or second segments of the pad are configured to form recesses in the wound area by a cutting tool, so that the wound is at least partially relieved of pressure.

[0078] 2. The pad according to aspect 1, wherein a portion of the circumference of the second segment of the pad is configured to releasably contact the first segment of the pad, particularly a portion of the circumference of the first segment.

[0079] 3. The pad according to aspect 1 or 2, wherein the pad has a first fixing unit in the first segment region for fixing the first segment to the skin of the distal calf in the Achilles tendon region.

[0080] 4. The pad according to aspect 3, wherein the fixing unit comprises adhesive, preferably one or more adhesive tapes, one or more hook and loop fasteners and / or one or more adhesive tapes.

[0081] 5. The pad according to aspect 4, wherein the adhesive tape or adhesive strip extends transversely to the longitudinal axis of the first section of the pad.

[0082] 6. The pad according to any of the foregoing aspects, wherein the pad has a second fixing unit in the second segment region for fixing the second segment to the heel and / or sole.

[0083] 7. The pad according to any of the foregoing aspects, wherein the first segment and / or the second segment have recesses for at least partial exposure, and / or the edges of the recesses are configured to at least partially or completely surround the edge of the wound.

[0084] 8. A foldable pad material sheet, comprising: A first section of foldable pad material and a second section of foldable pad material adjacent to the first section; The length and shape of each segment boundary are configured such that when one of the two segments is folded relative to the other segment in the segment transition region, the sheet forms a pad as described in either of the foregoing aspects.

[0085] 9. The sheet according to aspect 8, wherein the length and shape of the boundary of each segment are determined by the length and shape of the predetermined cutting line of the template described in any of the following aspects.

[0086] 10. The pad or sheet according to any of the foregoing aspects, wherein the pad and / or pad material is made of a breathable and / or self-adhesive material, and / or the pad and / or pad material is made of cotton wool, nonwoven fabric, felt, foam, silicone, spacer fabric, gel, 3D printing material, rubber pad, synthetic leather, synthetic skin, leather, natural skin, textile structure, inflatable pad material, pneumatically controllable material and / or microfiber, preferably the pad and / or pad material comprises polyester.

[0087] 11. The pad or sheet according to any of the foregoing aspects, wherein the first and / or second sections of the pad and / or sheet comprise a single layer of pad material or two, three or more layers of pad material stacked on top of each other.

[0088] 12. The pad or sheet according to any of the foregoing aspects, wherein the first segment and / or the second segment of the pad has a thickness of at least 10 mm, and / or the first segment and / or the second segment of the pad material has a thickness of at least 5 mm.

[0089] 13. A template, comprising: Pre-determined cutting line; The first section of the template is at least partially defined by a portion of a predetermined cutting line; and The template has a second section, which is at least partially defined by another portion of a predetermined cutting line, wherein the second section is adjacent to the first section; and The length and shape of the predetermined cutting line are configured such that when the foldable pad material is cut along the predetermined cutting line and subsequently folded, A pad according to the present invention is formed.

[0090] Form a pad as described in any of the foregoing aspects.

[0091] 14. The pad, sheet, or template according to any of the foregoing aspects, wherein the first segment and / or the second segment are sized to be applicable to at least a portion of the heel, preferably to at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, or 90% of the heel surface, or even the entire heel, preferably applied simultaneously.

[0092] 15. The pad, sheet, or template according to any of the foregoing aspects, wherein the first segment is sized to be applicable to at least a portion of the distal lower leg in the Achilles tendon region, preferably simultaneously.

[0093] 16. The pad, sheet, or template according to any of the foregoing aspects, wherein the pad, sheet, or template gradually narrows at the transition from the second section to the first section.

[0094] 17. The pad, sheet, or template according to any of the foregoing aspects, wherein the first section and the second section together have a longitudinal axis.

[0095] 18. The pad, sheet, or template according to aspect 17, wherein the extension of the second segment in the direction transverse to the longitudinal axis is greater than or equal to the extension of the first segment in the direction transverse to the longitudinal axis, preferably the direction is perpendicular to the longitudinal axis.

[0096] 19. The pad, sheet, or template according to any one of aspects 17 to 18 above, wherein the maximum width of the first section transverse to the longitudinal axis is less than or equal to the maximum width of the second section transverse to the longitudinal axis.

[0097] 20. The pad, sheet, or template according to any one of aspects 17 to 19 above, wherein the maximum width of the first section transverse to the longitudinal axis is 3-15cm, 4-14cm, 4-13cm, 4-11cm, 4-8cm, or about 5cm.

[0098] 21. The pad, sheet, or template according to any one of aspects 17 to 20 above, wherein the maximum width of the second section transverse to the longitudinal axis is 10-20 cm, 11-19 cm, 12-17 cm, 13-16 cm, 14-15.5 cm, or about 15 cm.

[0099] 22. The pad, sheet, or template according to any one of aspects 17 to 21 above, wherein the maximum length of the first section along the longitudinal axis is 3 cm to 20 cm, 5 cm to 18 cm, 8 cm to 17 cm, 9 cm to 16 cm, 9 cm to 12 cm, or about 10 cm.

[0100] 23. The pad, sheet, or template according to any one of aspects 17 to 22 above, wherein the maximum length of the second section along the longitudinal axis is 5 cm to 20 cm, 7 cm to 18 cm, 8 cm to 17 cm, 8 cm to 16 cm, 9 cm to 15 cm, 9 cm to 12 cm, or about 10 cm.

[0101] 24. The pad, sheet, or template according to any one of aspects 17 to 23 above, wherein the maximum length of the second section along the longitudinal axis is less than or equal to the maximum length of the first section along the longitudinal axis.

[0102] 25. The pad, sheet, or template according to any of the foregoing aspects, wherein the second section is semi-circular, preferably with a radius of 8-14cm, 9-12cm, 9-11cm, or about 10cm.

[0103] 26. The pad, sheet, or template according to any of the foregoing aspects, wherein the pad, sheet, or template has a tree shape, wherein a first section forms a trunk and a second section forms a crown.

[0104] 27. The pad, sheet, or template according to any of the foregoing aspects, wherein the pad, sheet, or template has a mushroom shape, wherein a first section forms a mushroom stem and a second section forms a mushroom cap.

[0105] 28. The pad, sheet, or template according to any of the foregoing aspects, wherein the second section has an arrow, flower, or cloud shape.

[0106] 29. The pad, sheet, or template according to any of the foregoing aspects, wherein the first segment and / or the second segment each have a polygonal shape.

[0107] 30. The pad, sheet, or template according to any of the foregoing aspects, wherein the first segment and / or the second segment each have a rectangular shape.

[0108] 31. The pad, sheet, or template according to any of the foregoing aspects, wherein the first segment and / or the second segment each have a pentagonal or hexagonal shape.

[0109] 32. The pad, sheet, or template according to any of the foregoing aspects, wherein the first section and / or the second section each have one or more sides, preferably each side having a side length of 2cm to 18cm, 4cm to 16cm, 4cm to 14cm, 4cm to 12cm, 4cm to 8cm, 4cm to 6cm, or about 5cm.

[0110] 33. The pad, sheet, or template according to any of the foregoing aspects, wherein the perimeter of the first segment and / or the second segment is at least partially circular or wavy.

[0111] 34. The pad, sheet, or template according to any of the foregoing aspects, wherein the perimeter of the first segment and / or the second segment is circular or wavy at one end of the respective segment.

[0112] 35. The pad, sheet, or template according to any of the foregoing aspects, wherein the perimeter of the first segment is circular or wavy at one end of the first segment, and the perimeter of the second segment is circular or wavy at one end of the second segment, preferably with the two ends opposite each other.

[0113] 36. The pad, sheet, or template according to any one of aspects 17 to 35 above, wherein the longitudinal axis is the axis of symmetry of the first segment and / or the second segment.

[0114] 37. The pad, sheet, or template according to any one of aspects 33 to 36 above, wherein the corresponding circular or wavy circumferential portions of the first and / or second sections intersect the longitudinal axis.

[0115] 38. The pad, sheet, or template according to any one of aspects 26 to 37 above, wherein the perimeter of the crown or mushroom cap is at least partially circular or wavy.

[0116] 39. A kit comprising: The template described in any of the foregoing aspects; and Foldable pad material sheet, preferably a sheet according to any of the foregoing aspects.

[0117] 40. The kit according to aspect 39, further comprising: Cutting tools, especially scissors or paper cutters, are used for cutting mat materials.

[0118] 41. The kit according to aspect 39 or 40, further comprising: Wound dressings and / or foam dressings for treating heel wounds.

[0119] 42. The kit according to any of the foregoing aspects, further comprising: One or more fixing units for securing the pad to the heel.

[0120] 43. The kit according to aspect 42, wherein the fixing unit comprises tape and / or fixing plaster.

[0121] 44. The kit according to aspect 42 or 43, wherein the fixing unit comprises hook and loop fasteners and / or tape.

[0122] 45. The kit according to any of the foregoing aspects, further comprising: One or more pins for applying markings to wound dressings and / or padding material.

[0123] 46. ​​The kit according to any of the foregoing aspects further includes a padding dressing.

[0124] 47. The kit according to aspect 46, wherein the pad dressing comprises tubular dressings and / or soft fillers.

[0125] 48. The kit according to any of the foregoing aspects further includes: a dressing shoe.

[0126] 49. The kit according to any of the foregoing aspects, further comprising: Stamping tools used for stamping pad materials.

[0127] 50. The kit according to any of the foregoing aspects, wherein the pad material is made of a breathable and / or self-adhesive material.

[0128] 51. The kit according to any of the foregoing aspects, wherein the pad material is made of felt, foam and / or silicone.

[0129] 52. The kit according to any of the foregoing aspects, wherein the pad material comprises polyester.

[0130] 53. The kit according to any of the foregoing aspects, wherein the pad material has a thickness of at least 1 mm, 2 mm, 3 mm, 4 mm, 5 mm or 6 mm.

[0131] 54. Use of the foldable pad material sheet according to any of the foregoing aspects for a heel wound pressure relief pad, wherein the pad at least partially or completely relieves the wound from pressure through a recess formed in its wound area.

[0132] 55. The use of the pad according to any of the foregoing aspects for a heel wound pressure relief unit, wherein the pad at least partially or completely relieves the wound from pressure through a recess formed in the wound region of its second segment.

[0133] 56. A method for producing a foot heel pad, the method comprising: Provide a foldable pad material sheet according to any of the foregoing aspects; Apply the first section of the padding material to the distal calf of the Achilles tendon region; In the transition zone between sections, the second section of the padding material is folded relative to the first section; Apply the second section of the padding material to the heel, such that the second section is on the heel and extends along the heel toward the sole of the foot; Mark the location on the applied first and / or second segment pad material, where the marked location corresponds to the location of the wound on the heel; Remove the marked padding material from the feet; and A recess is formed in the pad material at the marked location of the removed pad material, wherein the recess is sized such that it can at least partially or completely expose the wound.

[0134] 57. The method according to aspect 56, wherein the recess is formed by a cutting or stamping tool.

[0135] 58. The method according to any of the preceding aspects, wherein the shape and size of the recess are determined such that the edge of the recess at least partially or completely surrounds the edge of the wound.

[0136] 59. The method according to any of the preceding aspects, wherein the recess has a size corresponding to or larger than the wound size, preferably the edge of the recess is continuously spaced from the edge of the wound by at least 1 mm to 3 mm, preferably 2 mm.

[0137] 60. The method according to any of the foregoing aspects, wherein the method does not include attaching the produced pad to the foot for pressure relief.

[0138] 61. The method according to any of the foregoing aspects, wherein the application of the first segment and / or the second segment is a loose application that is not fixed to the foot.

[0139] 62. The method according to any of the foregoing aspects, wherein providing the foldable pad material sheet comprises: The template described in any of the foregoing aspects shall be placed on the pad material; and Cut the pad material along the predetermined cutting line of the template.

[0140] 63. The method according to aspect 62, wherein the material for cutting the pad along a predetermined cutting line on the template comprises: Cut the pad material along the predetermined cutting line around the first section of the template to cut out the first section of the sheet; and Cut the pad material along the predetermined cutting line around the second section of the template to cut out the second section of the sheet.

[0141] 64. The method according to aspect 62 or 63, wherein the pad material is cut along a predetermined cutting line of the template by a cutting tool, preferably scissors or paper cutters.

[0142] 65. The method according to any of the foregoing aspects, wherein folding the second segment relative to the first segment in the segment transition region occurs before, simultaneously with or after applying the first segment of pad material to the distal calf of the Achilles tendon region.

[0143] 66. The template according to any of the foregoing aspects, wherein the template is made of paper, cardboard or other cutable material, or the template is a digital object, preferably a document for printing and / or downloading.

[0144] Preferred embodiments of the claims of this application are described in the specification and drawings. Optional features disclosed in the specification, claims, and drawings may be used individually or in any combination to implement the various embodiments claimed in this application.

[0145] The various aspects and embodiments described above can be combined to create further embodiments. These and other modifications can be made to the embodiments based on the detailed description above. Generally, the terminology used in the following claims should not be construed as limiting the claims to the specific aspects and embodiments disclosed in the specification and claims, but should be interpreted to cover all possible embodiments and the full scope of equivalents to which such claims are entitled.

Claims

1. A pad (100) for at least partial pressure relief of a wound (1001) on the heel (1002), the pad (100) comprising: The first section (101) is used to apply to the distal lower leg of the Achilles tendon region; as well as The second section (102), which is adjacent to the first section (101), is applied to the heel (1002), wherein the second section (102) is folded toward the first section (101) in the transition region of the sections (101, 102), such that the second section (102) is configured to extend on the heel (1002) and along the heel (1002) toward the sole (1003); The first segment (101) and / or the second segment (102) of the pad (100) are configured to form a recess (104) in the wound (1001) region by means of a cutting tool, so as to at least partially protect the wound (1001) from pressure.

2. The pad (100) according to claim 1, characterized in that, The second segment (102) folds toward the first segment (101) in the transition region of the segments (101, 102), such that the second segment (102) is configured to extend on and along the plantar side region of the calcaneus.

3. The pad (100) according to claim 1 or 2, characterized in that, Each segment (101, 102) is folded relative to each other in the transition region of each segment (101, 102), such that the first segment (101) and / or the second segment (102) are configured to extend on and along the dorsal end region of the calcaneus, particularly on and along the calcaneal tuberosity.

4. The pad (100) according to claim 1, 2 or 3, characterized in that, Each segment (101, 102) is folded relative to each other in the transition area of ​​each segment (101, 102), such that the pad material is preferably continuously applied on the skin of the heel from the distal lower leg of the Achilles tendon region through the dorsal end of the calcaneus, particularly the calcaneal tuberosity, to the plantar region of the calcaneus.

5. A pad (100) for at least partial pressure relief of a wound (1001) on the heel (1002), the pad (100) comprising: The first section (101) is used to apply to the distal lower leg of the Achilles tendon region and the dorsal end region of the calcaneus, particularly the calcaneal tuberosity; as well as The second section (102) is preferably separated from the first section (101), wherein the second section (102) is arranged relative to the first section (101) as follows: The second segment (102) is configured to extend on and along the heel (1002), particularly in the plantar lateral region of the calcaneus, and toward the sole (1003), and The area (104) containing at least part of the wound (1001) is kept without padding material so as to at least partially protect the wound (1001) from pressure.

6. The pad (100) according to any one of the preceding claims, characterized in that, A portion of the perimeter of the second section (102) is configured as a first section (101) of the releasable ground contact pad (100), in particular a portion of the perimeter of the first section (101).

7. The pad (100) according to any one of the preceding claims, characterized in that, The pad (100) has a first fixing unit (105) in the region of the first segment (101) for fixing the first segment (101) to the skin of the distal calf in the Achilles tendon region.

8. A sheet (10) of a preferred foldable pad material, comprising: The foldable pad material has a first section (101) and a second section (102), with the second section (102) adjacent to the first section (101); The length and shape of the boundaries of each segment (101, 102) are configured such that: When one of the two segments (101, 102) is folded toward or arranged relative to the other segment (101, 102) in the transition area between the segments (101, 102), The sheet (10) forms a pad (100) according to any one of claims 1 to 7.

9. The pad (100) or sheet (10) according to any one of the preceding claims, characterized in that, The pad (100) or pad material is made of breathable and / or self-adhesive material, and / or wherein the pad and / or pad material is made of cotton wool, nonwoven fabric, felt, foam, silicone, spacer fabric, gel, 3D printing material, rubber pad, synthetic leather, synthetic skin, leather, natural skin, textile structure, inflatable pad material, pneumatically controllable material and / or microfiber, preferably wherein the pad (100) or pad material comprises polyester.

10. The pad (100) or sheet (10) according to any one of the preceding claims, characterized in that, The first and / or second sections of the pad (100) or pad material have a thickness of at least 5 mm or at least 10 mm.

11. A template (1), comprising: Pre-determined cutting line; The first section (101) of the template (1) is at least partially defined by a portion of a predetermined cutting line; as well as The second segment (102) of the template (1), which is at least partially defined by another portion of a predetermined cutting line, wherein the second segment (102) is adjacent to the first segment (101); and The length and shape of the predetermined cutting line are configured such that: When the pad material is cut along a predetermined cutting line and preferably subsequently folded, the preferred foldable pad material sheet forms the pad (100) as described in any of the preceding claims.

12. The sheet (10) according to any one of claims 8 to 10, characterized in that, The length and shape of the boundaries of each segment (101, 102) are defined by the length and shape of the predetermined cutting line of the template (1) according to claim 11.

13. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The first segment (101) and / or the second segment (102) are sized such that they can be applied to at least a portion of the surface of the heel (1002), preferably at least 10%, 20%, 30%, 40%, 50%, 60%, 70% or 75% of the surface of the heel (1002), particularly in the calcaneal region, preferably applied to and covering that portion of the surface simultaneously.

14. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The first segment (101) is sized such that it can be applied to at least a portion of the distal lower leg (1004) in the Achilles tendon region, preferably simultaneously.

15. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The pad (100), sheet (10) or template (1) gradually tapers at the transition from the second section (102) to the first section (101).

16. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The first section (101) and the second section (102) share a longitudinal axis. The extension of the second segment (102) in the direction transverse to the longitudinal axis is greater than or equal to the extension of the first segment (101) in the direction transverse to the longitudinal axis, preferably wherein this direction is perpendicular to the longitudinal axis, and / or The maximum width of the first section (101) transverse to the longitudinal axis is less than or equal to the maximum width of the second section (102) transverse to the longitudinal axis.

17. The pad (100), sheet (10), or template (1) according to claim 16, characterized in that, The maximum width of the first section (101) transverse to the longitudinal axis is 3-15 cm, 4-14 cm, 4-13 cm, 4-11 cm, 4-8 cm, or approximately 5 cm; and / or The maximum width of the second section (102) transverse to the longitudinal axis is 10-20 cm, 11-19 cm, 12-17 cm, 13-16 cm, 14-15.5 cm or about 15 cm.

18. The pad (100), sheet (10), or template (1) according to claim 16 or 17, characterized in that, The maximum length of the first segment (101) along the longitudinal axis is 3 cm to 20 cm, 5 cm to 18 cm, 8 cm to 17 cm, 9 cm to 16 cm, 9 cm to 12 cm, or about 10 cm; and / or The maximum length of the second section (102) along the longitudinal axis is 5 cm to 20 cm, 7 cm to 18 cm, 8 cm to 17 cm, 8 cm to 16 cm, 9 cm to 15 cm, 9 cm to 12 cm or about 10 cm.

19. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The pad (100), sheet (10), or template (1) has the shape of a tree, with the first section (101) forming the trunk and the second section (102) forming the crown, or The pad (100), sheet (10) or template (1) has the shape of a mushroom, with the first section (101) forming the mushroom stem and the second section (102) forming the mushroom cap.

20. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The first segment (101) and / or the second segment (102) each have a rectangular shape.

21. The pad (100), sheet (10), or template (1) according to any of the preceding claims, characterized in that, The perimeter of each of the first segment (101) and / or the second segment (102) is at least partially circular or wavy.

22. A kit (500) comprising: The template (1) as described in any of the preceding claims; and The pad material sheet (10) according to any of the preceding claims is preferred.

23. The kit (500) according to claim 22, characterized in that, The kit (500) also includes: Wound dressings (2000) and / or foam dressings for the treatment of heel (1002) wounds (1001).

24. The kit (500) according to any one of claims 22 to 23, characterized in that, The kit (500) also includes: One or more fixing units (105) for securing the pad (100) to the heel (1002).

25. The kit (500) according to any one of claims 22 to 24, characterized in that, The kit (500) also includes padding dressings.

26. Use of a preferred foldable pad material sheet (10) of a pad (100) for pressure relief of a heel (1002) wound (1001) according to any of the preceding claims, wherein the pad (100) at least partially or completely relieves pressure on the wound (1001) by means of a recess (104) formed in the pad (100) or pad material in the wound (1001) region; and / or Use of the pad (100) of the device for relieving pressure on a heel (1002) wound (1001) as described in any of the preceding claims, wherein the pad (100) at least partially or completely relieves pressure on the wound (1001) by means of a recess (104) formed in the wound (1001) region in a second section (102) of the pad (100) or the pad material.

27. A method (1200) for producing a foot heel pad (1002) (100), the method comprising: Provide a preferred foldable pad material sheet (10) (1201) as described in any of the preceding claims; The first section (101) of the padding material is applied to the distal lower leg (1204) of the Achilles tendon region of the preferred non-weight-bearing heel, preferably to the dorsal end region of the calcaneus, particularly the calcaneal tuberosity; In the transition area of ​​each section (101, 102), the second section (102) of the padding material is folded relative to the first section (101), or the padding material of the second section (102) separated from the first section is arranged relative to the first section (101); as well as Apply (1205) a second section (102) of the padding material to the preferred unloaded heel (1002) such that the second section (102) is on and extends along the heel (1002), particularly in the plantar side region of the calcaneus and toward the sole (1003).

28. The method according to claim 27, characterized in that, The method further includes: Mark the location on the first and / or second section (102) of the applied padding material, wherein the marked location corresponds to the location of the wound (1001) on the heel (1002); Remove the marked pad material from the foot (1000) (1206); and A recess (104) (1207) is made at the marked location of the removed padding material, wherein the recess (104) is sized such that it can at least partially or completely expose the wound (1001).

29. The method (1200) according to claim 28, characterized in that, The shape and size of the recess (104) are defined such that the edge of the recess (104) at least partially or completely surrounds the edge of the wound (1001).

30. The method (1200) according to claim 28 or 29, characterized in that, The size of the recess (104) corresponds to or is larger than the size of the wound (1001), preferably wherein the edge of the recess (104) is continuously spaced from the edge of the wound by at least 1 mm to 3 mm, preferably at least 2 mm.

31. The method (1200) according to any one of claims 27 to 30, characterized in that, This method does not include attaching the produced pad to the foot (1000) for pressure relief; and / or The application of the first segment (101) and / or the second segment (102) is a loose application that is not fixed to the foot (1000).

32. The method (1200) according to any one of claims 27 to 31, characterized in that, The pad material sheet (10) provided includes: Place the template (1) as described in any of the preceding claims on the pad material (1202); and Cut the pad material (1203) along the predetermined cutting line of the template (1).

33. The method (1200) according to claim 32, characterized in that, The material for cutting the pad along the predetermined cutting line of the template (1) includes: Cut the pad material (1203) along the predetermined cutting line around the first section (101) of the template (1) to cut out the first section (101) of the sheet (10); and Cut the pad material (1203) along the predetermined cutting line around the second section (102) of the template (1) to cut out the second section (102) of the sheet (10).

34. The method (1200) according to claim 33, characterized in that, The method further includes: By cutting a recess (104) at the transition between the two sections (101, 102) of the sheet (10), the first section (101) and the second section (102) of the sheet (10) are separated.

35. The method (1200) according to claim 34, characterized in that, The method further includes: The separated first segment (101) is cut along the longitudinal axis (L1) of the first segment (101) to divide the separated first segment (101) laterally (B1) into multiple parts in the longitudinal direction. These parts preferably together form the first segment (101) applied to the distal lower leg of the Achilles tendon region, and preferably also applied to the dorsal end region of the calcaneus.

36. The method (1200) according to any one of claims 27 to 35, characterized in that, Folding the second segment (102) toward the first segment (101) in the transition area of ​​each segment (101, 102) occurs before, simultaneously with or after the first and / or second segments (102) of the pad material are applied to the foot (1000).

37. The template (1) according to any one of the preceding claims, characterized in that, The template (1) is made of paper, cardboard or other cutable material, or the template (1) is a digital object, preferably a file for printing and / or downloading.

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