Pad for pressure relief of a wound

Abstract

The disclosure relates to a pad for at least partial pressure relief of a heel wound, a corresponding sheet of foldable pad material, a template, a kit, and corresponding uses and a method of production of the pad. The pad comprises: a first section for bearing on the distal lower leg in the region of the Achilles tendon; and, adjoining the first section, a second section for bearing on the heel, wherein the second section, in the region of transition of the sections, is folded against the first section in such a way that the second section is designed to extend on and along the heel and in the direction of the sole of the foot; wherein the first and / or second section of the pad is designed for obtaining, by means of a cutting tool, a cutout in the region of the wound, in order to at least partially relieve the wound from pressure.

Description

[0001] Pad to relieve pressure on a wound

[0002] DESCRIPTION

[0003] TECHNICAL FIELD

[0004] The disclosure relates to a pad for at least partial pressure relief of a heel wound, a corresponding arch of cushioning material, a template, a kit, as well as corresponding uses and a manufacturing method for the pad.

[0005] BACKGROUND

[0006] Pressure ulcers, also known as decubitus ulcers, are a common condition characterized by local damage to the skin and / or underlying tissue due to prolonged pressure and / or shear forces, which disrupts skin circulation. Among pressure ulcers, heel pressure ulcers are the second most common pressure ulcer in Europe. Complications of heel pressure ulcers can include restricted mobility and independence, as well as prolonged periods of active disease and even death from sepsis.

[0007] To treat a heel pressure ulcer, the aim can be to increase the contact surface to reduce the contact pressure or to relieve pressure on the sensitive region.

[0008] The previously common approach to treating heel decubitus is shown in Figure i. This approach can be implemented, for example, with a medical shoe or appropriate positioning of the foot 1000 (sole of the foot 1003) at the bedside. The goal of this common approach is to completely expose the entire affected heel 1002, including the wound 1001 of the heel decubitus, to pressure. To achieve this, the pressure on the distal lower leg 1004 in the area of ​​the Achilles tendon is shifted, for example, by means of a support 1005. However, as a result of this pressure shift on the distal lower leg in the area of ​​the Achilles tendon, discomfort occurs in the Achilles tendon. While the affected heel is completely relieved of pressure, the pressure is concentrated on another region of the foot, leading to new clinical pictures there.

[0009] Furthermore, current approaches limit the patient's mobility and independence, as these approaches are either implemented in the hospital bed, thus confining the patient to the bed, or they are implemented as part of a medical shoe that limits mobility, is uncomfortable, and even poses an increased risk of falls. Therefore, it has been shown that such medical shoes are not worn regularly or insufficiently by patients, resulting in constant interruptions and treatment being slow or incomplete. Furthermore, such medical shoes are generally quite expensive.

[0010] SHORT DESCRIPTION

[0011] Based on the prior art mentioned at the outset, the object of the disclosure is to provide means that restrict mobility less and at the same time enable more effective pressure relief of a wound on a heel.

[0012] The disclosure solves this problem with the padding having the features of claim 1 or 5, with the sheet of padding material having the features of claim 8, with the template having the features of claim 11, with the kit having the features of claim 22, with the uses according to claim 26, and with the method having the features of claim 27. Preferred embodiments are described in the dependent claims, in the description and in the figures.

[0013] According to the solution according to the invention, a pad is provided for at least partially relieving pressure on a wound on a heel, the pad comprising: a first section for contact with the distal lower leg in the region of the Achilles tendon; and a second section adjacent to the first section for contact with the heel, wherein the second section is folded against the first section in the region of the transition of the sections such that the second section is designed to extend onto and along the heel and towards the sole of the foot; wherein the first and / or second section of the pad is designed to receive a recess in the region of the wound by means of a cutting tool in order to at least partially relieve pressure on the wound.

[0014] Because the pad according to the invention has a second section adjacent to a first section for contact with the heel, wherein the second section is folded against the first section in the region of the transition of the sections such that the second section is designed to extend on and along the heel and towards the sole of the foot, contrary to the previously common approach, the heel is included in the pressure absorption as part of the pressure redistribution, instead of being completely excluded. However, because the first and / or second section of the pad according to the invention is designed to have a recess in the area of ​​the wound by means of a cutting tool in order to at least partially relieve the wound of pressure, pressure relief of the wound on the heel is achieved which is adaptable to the location and size of the wound and thus, preferably complete.However, contrary to the previous approach, pressure relief from the heel wound does not occur to the detriment of the distal lower leg in the area of ​​the Achilles tendon, but rather the heel also absorbs pressure outside the wound to relieve pressure on the wound. Pressure relief from the wound is achieved with optimal redistribution of pressure on the foot, making pressure relief more effective overall. Because the pad according to the invention has the first section for contact with the distal lower leg in the area of ​​the Achilles tendon, the risk of the pad slipping is reduced and the Achilles tendon is further protected.

[0015] A particularly effective integration of the heel in the pressure absorption within the framework of pressure redistribution for pressure relief is achieved by folding the second section against the first section in the region of the transition of the sections in such a way that the second section is designed to extend on and along the plantar-side region of the heel bone. A further such contribution to pressure redistribution is achieved by folding the sections of the pad against each other in the region of the transition of the sections in such a way that the first section and / or the second section is / are designed to extend on and along the region at the dorsal end, in particular at the tuber calcanei, of the heel bone.A further, particularly large contribution to pressure redistribution is achieved in that the sections of the pad are folded against each other in the area of ​​the transition of the sections in such a way that the padding material extends on the skin of the heel from the distal lower leg in the area of ​​the Achilles tendon over the dorsal end, in particular the tuber calcanei, of the heel bone to the plantar-side area of ​​the heel bone, preferably continuously.

[0016] In case of larger soft tissue defects orFor an ulcer above the heel bone (calcaneus), in particular on a rear part of the plantar-side region of the heel bone, it is recommended to use a pad for at least partial pressure relief of such larger wounds instead of the folded pad mentioned at the beginning, which pad comprises the following: a first section for application to the distal lower leg in the region of the Achilles tendon and in the region at the dorsal end, in particular on the tuber calcanei, of the heel bone; and a second section, which has preferably been separated from the first section, wherein the second section is arranged relative to the first section such that: the second section is designed to extend on and along the heel, in particular in the (front) plantar-side region of the heel bone, and in the direction of the sole of the foot, and to keep an area comprising at least part of the wound free of padding material in order to at least partially relieve the wound of pressure.

[0017] This allows the heel to be involved as much as possible in redistributing pressure to relieve pressure in such wounds, while protecting the Achilles tendon and maintaining the stability of the pad.

[0018] Because the object is a pad with two sections arranged relative to one another, in particular folded against one another, and because the sections rest against the foot, the pad can be part of a dressing, which brings with it a number of additional advantages. The pad enables effective pressure relief and thus treatment of heel pressure ulcers 24 hours a day, seven days a week, even with poor patient compliance. Furthermore, pressure relief is not dependent on positioning measures. This allows for faster and more complete treatment success. Because the pad can be part of a dressing due to the properties described above, there is hardly any restriction of mobility and no medical shoe is required for the actual pressure relief. Furthermore, the pad does not interfere with wound care, as it can be applied over a wound dressing.The pad can be easily and securely applied and fixed to the foot.

[0019] According to the solution according to the invention, a sheet of (foldable) cushioning material is therefore further proposed, the sheet comprising: a first section of the foldable cushioning material and a second section of the foldable cushioning material adjacent to the first section; wherein the length and shape of boundaries of the sections are designed such that the sheet, when one of the two sections is folded or arranged against the other of the two sections in the region of the transition of the sections, forms a cushion according to the invention.

[0020] Aspects of simple and cost-effective production were also taken into account when designing the cushion and bow.

[0021] According to the solution according to the invention, a template is therefore further proposed, the template comprising: predetermined cutting lines; a first section of the template which is at least partially delimited by some of the predetermined cutting lines; and a second section of the template which is at least partially delimited by another part of the predetermined cutting lines, wherein the second section adjoins the first section; and wherein the length and shape of the predetermined cutting lines are designed such that a sheet of (foldable) cushioning material, when the (foldable) cushioning material is cut along the predetermined cutting lines and preferably subsequently folded, forms a cushion according to the invention. The template can be made of paper, cardboard or another material. The template can also be a digital object (e.g. a file for printing and / or downloading).The template can extend beyond the cutting lines or be outlined or limited by them.

[0022] According to the solution according to the invention, a kit is also proposed, the kit comprising: the template according to the invention; and a sheet of (foldable) cushioning material, preferably the sheet of (foldable) cushioning material according to the invention.

[0023] The simple production of the cushion according to the invention is also reflected in the method according to the invention. The method according to the invention is for producing a cushion for the heel of a foot, the method comprising: providing the sheet of (foldable) cushioning material according to the invention; applying the first section of the cushioning material to the distal lower leg in the region of the Achilles tendon; folding the second section of the cushioning material in the region of the transition of the sections against the first section; applying the second section of the cushioning material to the heel such that the second section extends onto and along the heel and toward the sole of the foot. The application can take place on an unloaded heel, in particular an unloaded heel bone, e.g., when the patient positions the heel exposed in the air or does not place any load on the heel bone.The method may further comprise: marking a location on the applied first and / or second portion of the cushioning material, wherein the marked location corresponds to a position of a wound on the heel; removing the marked cushioning material from the foot; and creating a recess in the cushioning material of the removed cushioning material at the marked location, wherein the recess is dimensioned such that the recess is suitable for at least partially or completely exposing the wound. Preferably, providing the sheet of foldable cushioning material may comprise: applying the template according to the invention to the cushioning material; and cutting the cushioning material along the predetermined cutting lines of the template.

[0024] In summary, the inventors have found that departing from the previously established approach to pressure relief in heel pressure ulcers leads to more effective pressure relief of the wound with reduced restriction of mobility and also offers a number of other additional advantages such as simpler and more cost-effective production.

[0025] According to a preferred aspect, a part of the periphery of the second portion of the cushion is designed to releasably contact the first portion of the cushion, in particular a part of the periphery of the first portion of the cushion, which simultaneously leads to improved stability of the cushion on the foot and a more comprehensive pressure distribution.

[0026] According to a preferred aspect, the padding in the region of the first and / or second section has a fastening means for attaching it to the skin of the distal lower leg, which leads to improved stability of the padding (particularly when running) on ​​the foot. The fastening means is preferably an adhesive. The padding and / or padding material can be made of an air-permeable and / or self-adhesive material. The padding and / or padding material can be made of cotton wool, nonwoven fabric, felt, foam, silicone (e.g., 2-component systems), spacer fabrics (3D textiles), gels, 3D-printed materials, rubber mats, synthetic leather, synthetic fur, leather, natural fur, textile structures, air-filled padding materials, pneumatically adjustable materials, and / or microfibers.The thickness of the entire padding material applied to the foot with the pad 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 can also have a different value (depending on the patient's weight and the compression properties of the padding material). This applied thickness of padding material can be achieved by a single layer of padding material with a thickness corresponding to these minimum thicknesses (e.g., 10 mm or 15 mm). Alternatively, several layers can be applied to the foot on top of one another (e.g., folded layers). For example, a double layer of padding material can be applied, each layer of padding material having a thickness (e.g., 5 mm) that corresponds to half of one of the above-mentioned minimum thicknesses (e.g., 10 mm). For example, a triple layer of padding material can be applied, each layer of padding material having a thickness (e.g.,5 mm) which corresponds to one third of one of the above-mentioned minimum thicknesses (e.g. 15 mm).

[0027] These properties, both individually and in combination, have a beneficial effect on wearing comfort, pressure redistribution and simple and cost-effective production.

[0028] Preferably, the first and / or second section of the pad, arch or template is / are dimensioned such that it is / are suitable for being applied to at least a part of the heel, preferably to at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, or 90% of the surface of the heel or even to the entire heel, preferably simultaneously. This allows at least a part of the heel to absorb pressure as part of the pressure redistribution when pressure is relieved on the wound. This leads to pressure relief on the wound with even more comprehensive pressure redistribution without straining the Achilles tendon. According to preferred aspects, which can be implemented individually or in combination, the pad, arch or template tapers at the transition from the second section to the first section.An extension of the second section in a direction transverse to a longitudinal axis of the first and second sections can be greater than or equal to an extension of the first section in a direction transverse to this longitudinal axis. The maximum width of the first section transverse to the longitudinal axis can be smaller than or equal to the maximum width of the second section transverse to the longitudinal axis. These properties, individually and in combination, simplify the folding of the two sections against and onto each other. Furthermore, a transition of the folded sections in the area of ​​the Achilles tendon on the distal lower leg is enabled.

[0029] In the following, a number of preferred shapes and dimensions of the first and / or second section of the template, arch and pad are also described, illustrated and claimed, each of which enables the pad to be used for virtually all foot sizes, is easy to place on the foot, is less likely to slip and thus offers the necessary stability, protects the Achilles tendon as necessary, and ensures the best possible pressure redistribution.

[0030] For example, the pad, arch, or template can preferably be shaped like a tree or mushroom, or have another shape with a rounded or wavy end of the second section, which further restricts patient mobility and increases comfort and stability. A rounded second section, such as a treetop or mushroom cap, conforms better to the heel and can be applied very quickly to the pressure ulcer. Furthermore, the rounded second section is easy to produce and generates less waste.

[0031] The first section and / or the second section may each have the shape of a polygon or rectangle, which facilitates the alignment of the cushion on the foot.

[0032] Preferably, for example, the maximum width of the first section transverse to the longitudinal axis can be 3-15 cm, 4-14 cm, 4-13 cm, 4-11 cm, 4-8 cm or about 5 cm and / or the maximum length of the first section along the longitudinal axis can be 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, which individually and in combination enables the protection of the Achilles tendon without having unnecessary padding material in the region of the distal lower leg or padding material that would be obstructive for folding and / or fixing.

[0033] Preferably, for example, alternatively or additionally, the maximum width of the second section transverse to the longitudinal axis can be 10-20 cm, 11-19 cm, 12-17 cm, 13-16 cm, 14-15.5 cm or about 15 cm and / or the maximum length of the second section along the longitudinal axis can be 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, both of which are individually and in combination conducive to comprehensive pressure redistribution involving the heel.

[0034] To the extent that this brief description of the disclosure describes features that are not listed in the patent claims, these features do not represent essential features in the sense that these features must necessarily be included in the patent claims to describe the disclosure, but these features are particularly prominent preferred implementations of the claimed invention, can be combined with any of the patent claims, and can also be combined with each other as desired.

[0035] BRIEF DESCRIPTION OF THE CHARACTERS

[0036] Figure 1 shows a schematic of a state-of-the-art approach to pressure relief in heel decubitus.

[0037] Figures 2A-E schematically show means according to the invention for relieving pressure on a wound on a heel.

[0038] Figures 3A-E schematically show a use and method according to the invention for producing a pad for relieving pressure on a wound on a heel, as well as the means according to the invention used therein.

[0039] Figure 4 shows an example of a template according to the invention.

[0040] Figures 5 to 11 show examples of templates or sheets of foldable cushioning material according to the invention

[0041] Figure 12 shows schematically a method according to the invention for producing a cushion for relieving pressure on a wound on a heel.

[0042] Components shown in multiple figures have the same reference symbols. DETAILED DESCRIPTION

[0043] The disclosure relates to a pad for at least partial pressure relief of a heel wound, a corresponding arch of cushioning material, a template, a kit, as well as corresponding uses and a manufacturing method for the pad.

[0044] Figures 2A-E schematically show means according to the invention for relieving pressure on a wound on a heel.

[0045] Figure 2A shows a foot 1000 with a distal lower leg 1004 in the area of ​​the Achilles tendon, a sole 1003, and a wound 1001 in the area of ​​the heel 1002. The means (pad, sheet, template, kit), uses, and methods according to the invention (see Fig. 2B) achieve this by applying a pad 100 to the foot 1000 to at least partially relieve pressure on the wound 1001 at the heel 1002 in such a way that, by means of a recess 104 in the pad 100 in the area of ​​the wound 1001, the wound 1001 is at least partially relieved of pressure, while simultaneously redistributing the pressure to the areas of the heel 1002 outside the wound 1001.

[0046] For this purpose, a sheet 10 of foldable cushioning material according to the invention is used, as shown by way of example in Figure 2C in a tree or mushroom shape. The dimensions Li, L2, Bi, B2, K2, and Ri can, for example, have the values ​​described further below for Figures 4 to 6. The sheet 10 comprises a first section 102 of the foldable cushioning material and a second section 102 of the foldable cushioning material adjacent to the first section; the length and shape of boundaries of the sections 101, 102 are designed such that the sheet 10 forms the cushion 100 when one of the two sections 101, 102 is folded against the other of the two sections 101, 102 in the region of the transition between the sections 101, 102.

[0047] The cushion 100 thus formed is shown in more detail in Figures 2D and E. The cushion 100 comprises the first section 101 for contact with the distal lower leg 1004 in the region of the Achilles tendon and the second section 102 adjacent to the first section for contact with the heel 1002, wherein the second section 102 is folded against the first section 101 in the region of the transition of the sections 101, 102 such that the second section 102 is designed to extend onto and along the heel 1002 and towards the sole of the foot 1003; wherein the first and / or second section 102 of the cushion 100 is designed to obtain a recess 104 in the region of the wound 1001 by means of a cutting tool (e.g., scissors) in order to at least partially relieve the wound 1001 of pressure.As shown in Figures 2D and E, a portion of the periphery of the second portion of the cushion may be configured to releasably contact the first portion of the cushion, in particular a portion of the periphery of the first portion of the cushion.

[0048] Figure 2E shows that the padding in the region of the first section 101 may have a first fastening means 105 for attaching the first section 101 to the skin of the distal lower leg 1004 in the region of the Achilles tendon. The fastening means 105 may comprise an adhesive, preferably one or more adhesive strips, one or more hook-and-loop fasteners, and / or one or more adhesive bands. The adhesive, such as the adhesive strips or adhesive bands, may extend transversely to the longitudinal axis of the first section 101 of the padding 100, as shown in Figure 2E.

[0049] Figures 3A-E schematically show a use and method according to the invention for producing a pad according to the invention for relieving pressure on a wound on a heel, as well as the means according to the invention used therein.

[0050] To produce the cushion 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 sheet 10 of foldable cushioning material, preferably the sheet according to the invention. The kit 500 can further comprise a cutting tool, such as scissors (paper scissors) 501, and / or pins 502, as shown in Figures 3A-D.

[0051] The inventive method for producing the inventive cushion 100 for a heel of a foot may comprise the following steps.

[0052] First, in a preceding, optional step, the template 1 according to the invention can be placed on the sheet 10 of cushioning material of the kit 500 (the uncut sheet is not shown), and the cushioning material of the sheet 10 can be cut out along the predetermined cutting lines of the template 1 according to the invention using the cutting tool 501. This produces a cut sheet 10 of cushioning material (cf. Fig. 3A, shown there, however, already with a cutout 104) that has the same shape and dimensions as the template 1. This provides the sheet 10 of foldable cushioning material according to the invention for the cushion 100.

[0053] A wound dressing 2000 is applied to the heel, on which the wound (ulcer or ulcer) is marked by means of a marker 2001 using one of the pins 502 of the kit 500 (see Fig. 3A). The first section 101 of the cut sheet 10 is then applied to the distal lower leg 1004 in the area of ​​the Achilles tendon (see Fig. 3B). The second section 102 of the sheet 10 is folded against the first section 101 beforehand, simultaneously, or afterwards in the area of ​​the transition of the sections 101, 102 (see Fig. 3B). The second section 102 of the sheet 10 is applied to the heel in such a way that the second section 102 extends onto and along the heel and toward the sole of the foot 1003 (see Fig. 3B).

[0054] Preferably, the first and / or second portion 101, 102 of the pad 100 is / are dimensioned such that it / they are suitable for application 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 surface of the heel, or even to the entire heel, preferably simultaneously. This allows at least a portion of the heel to absorb pressure during pressure redistribution when the wound is pressure relieved. This leads to pressure relief of the wound with even more comprehensive pressure redistribution, without stressing the Achilles tendon.

[0055] In Figure 2C and in the context of Figures 4 to 11, a number of preferred shapes and dimensions of the first and / or second section of the template, arch and pad are described and illustrated, each of which enables the pad to be applicable to virtually all foot sizes, is easy to place on the foot, is less likely to slip and thus offers the necessary stability, protects the Achilles tendon as necessary, and ensures the best possible pressure redistribution involving the healthy parts of the heel.

[0056] Preferably, for example, the cushion may have the shape of a tree or mushroom or another shape with a rounded end (in the area of ​​the sole of the foot 1003) of the second section 102 (as shown in Fig. 3B and C), which restricts the mobility of the patient even less and increases wearing comfort and stability.

[0057] According to preferred aspects, the pad, the arch, or the template can taper at the transition from the second section to the first section. Alternatively or additionally, an extension of the second section in a direction transverse to a longitudinal axis of the first and second section can be greater than or equal to an extension of the first section in the direction transverse to this longitudinal axis. Alternatively or additionally, the maximum width of the first section transverse to the longitudinal axis can be smaller than or equal to the maximum width of the second section transverse to the longitudinal axis. These properties, individually and in combination, particularly effectively simplify the folding of the two sections against and onto each other. A transition of the folded sections in the area of ​​the Achilles tendon on the distal lower leg, as shown in Figures 3B and 3C, is also made even easier.For example, a portion of the periphery of the second portion of the cushion may be configured to releasably contact the first portion of the cushion, in particular a portion of the periphery of the first portion of the cushion, as indicated in Figures 3B and 3C at reference numeral 1004.

[0058] Continuing with Figure 3B, after the pad has been applied to the foot, a location 105 on the applied first and / or second section 102 of the padding material is marked with one of the pins 502 of the kit 500, wherein the location 105 marked on the padding material corresponds to the position of the mark 2001 or the wound 1001 on the heel. For example, the mark 2001 may still be faintly visible through the padding material of the pad 100, as indicated in Figure 3B. The marked padding material is removed from the foot, and a recess 104 is made in the removed sheet 10 of padding material using the cutting tool 501 of the kit 500 at the marked location 105 of the padding material (see Figure 3A). By means of the cutting tool 501, the recess 104 can be cut into the upholstery material, wherein the recess 104 is dimensioned such that the recess 104, when the upholstery 100 as already shown in Fig.3B is reapplied to the foot (cf. Fig. 3C) is suitable for at least partially or completely exposing the wound or the marking 2001. As shown in Fig. 3C, the first section 101 of the pad 100 rests against the distal lower leg 1004 in the region of the Achilles tendon, while the second section 102 is folded against the first section 101 and extends onto and along the heel and toward the sole of the foot 1003. In this state of the pad 100, the recess 104 overlaps with the marking 2001 of the wound dressing 2000 and thus at least partially exposes this marking 2001, and in particular the underlying wound, in order to at least partially relieve pressure on the wound (cf. Fig. 3C). The recess 104 should preferably be so large that the padding material is at least 1-3 mm, preferably at least 2 mm, away from the edge of the marking 2001 or wound.

[0059] The pad can then be secured to the foot using a fastening means from kit 500, such as adhesive tape or a plaster. The plantar area should be under tension, while the Achilles tendon should be free of tension. A padding bandage 503 from kit 500, optionally with a tubular bandage and optional cotton wool (both optionally included in kit 500), can then be applied to the foot around the pad (see Fig. 3D). A bandage shoe (optionally included in kit 500) can also be used. However, even without a bandage shoe, the patient can stand and walk again, as shown in Figure 3E. Figure 12 schematically shows a method according to the invention for producing a pad for pressure relief of a wound on a heel. Figure 12 also shows an exemplary sequence of the illustrated steps using the arrows shown.

[0060] A method 1200 for manufacturing a cushion for a heel of a foot, the method may include the following operations.

[0061] First, the method comprises providing 1201 the sheet of foldable cushioning material according to the invention. This is followed by applying 1204 the first section of the cushioning material to the distal lower leg in the region of the Achilles tendon, and applying 1205 the second section of the cushioning material to the heel such that the second section extends onto and along the heel and toward the sole of the foot, regardless of which of the two sections is applied to the foot first or simultaneously. The second section of the cushioning material is folded in the region where the sections transition to the first section, and the folding can be part of steps 1201, 1204, or 1205. The cushion can therefore be applied to the foot already folded or initially unfolded. However, folding occurs at the latest during the application of the sections to the foot.A location is marked on the applied first and / or second section of the cushioning material, wherein the marked location corresponds to the position of a wound on the heel. The marking can be part of step 1205 or an additional step after step 1205 and before step 1206. The marked cushioning material is then removed 1206 from the foot, and a recess is created 1207 in the cushioning material of the removed cushioning material at the marked location. The recess is dimensioned such that the recess is suitable for at least partially or completely exposing the wound or relieving pressure.

[0062] Providing 1201 the sheet of foldable cushioning material may optionally further comprise: placing 1202 the template according to the invention onto the cushioning material; and cutting 1203 the cushioning material along the predetermined cutting lines of the template. Cutting the cushioning material along the predetermined cutting lines of the template may optionally comprise: cutting the cushioning material along the predetermined cutting lines to cut out the first section of the template, around the first section of the sheet; and cutting the cushioning material along the predetermined cutting lines to cut out the second section of the template, around the second section of the sheet.

[0063] In case of larger soft tissue defects orFor an ulcer above the heel bone (calcaneus), in particular on a rear part of the plantar-side region of the heel bone, it is recommended to use a pad for at least partial pressure relief of such larger wounds instead of the folded pad mentioned above, which pad comprises the following: a first section for application to the distal lower leg in the region of the Achilles tendon and in the region at the dorsal end, in particular at the tuber calcanei, of the heel bone; and a second section, which has preferably been separated from the first section, wherein the second section is arranged relative to the first section such that: the second section is designed to extend on and along the heel, in particular in the (front) plantar-side region of the heel bone, and in the direction of the sole of the foot, and to keep an area comprising at least part of the wound free of padding material in order to at least partially relieve the wound (1001) of pressure.

[0064] This allows the heel to be involved as much as possible in redistributing pressure to relieve pressure in such wounds, while protecting the Achilles tendon and maintaining the stability of the pad.

[0065] For such cushions, the method 1200 is partly carried out in the same way and partly modified as follows. Using the template according to the invention described here, a sheet of cushioning material is first cut out along the cutting lines of the template, so that the cut-out sections 102, 102 of the sheet 10 are formed. Then, at the transition from the first section 101 of the sheet 10 to the second section 102 of the sheet 10, a recess 104 is cut into the sheet 10, wherein the cutting of this recess 104 can also lead to the two sections 101, 102 being separated from one another. It is also conceivable to separate the first separated section 101, preferably by cuts along the longitudinal direction Li (cf. Fig. 4-11), into two, three or more parts (which are then preferably arranged along the direction of Bi, cf. Fig. 4-11). This is followed by the application of the first section (orall of its severed parts) of the padding material to the distal lower leg in the area of ​​the Achilles tendon of a preferably unloaded heel (e.g. freely positioned heel with unloaded heel bone). The first section is preferably applied in the area at the dorsal end of the heel bone, in particular at the tuber calcanei. This is followed by arranging the second section 102 of the padding material, separated from the first section, relative to the first section 101 and applying the second section of the padding material to the preferably unloaded heel in such a way that the second section extends on and along the heel, in particular in the plantar region of the heel bone, and in the direction of the sole of the foot. Such a method makes it possible to prepare a pad for pressure relief even for such larger wounds in the area of ​​the posterior plantar region of the heel bone.Figure 4 shows an example of a template according to the invention, which is shown here as an example in the form of a tree (or a mushroom).

[0066] The template 1 comprises: predetermined cutting lines; a first section 101 of the template, which is at least partially delimited by a part of the predetermined cutting lines; and a second section 102 of the template, which is at least partially delimited by another part of the predetermined cutting lines, wherein the second section adjoins the first section; and wherein the length and shape of the predetermined cutting lines are designed such that a sheet of foldable cushioning material, when the foldable cushioning material is cut along the predetermined cutting lines and subsequently folded, forms a cushion according to the invention. The template can be made of paper, cardboard or another material. The template can extend beyond the predetermined cutting lines.

[0067] The edge or outline of the shape shown represents predetermined cutting lines, which are indicated by the scissors shown. The first section 101 of the template i extends over the length Li from the base of the tree trunk with width Bi to the beginning of the tree crown with width B2 where the second section 102 of the template i begins. Where the trunk meets the crown is the transition from the first section 101 to the second section 102. The second section 102 extends from the transition over a length L2 to the tip of the tree crown, whereby the edge of the tree crown can have different radii Ri to R3 in different sections. Li and L2 together can form a longitudinal axis. The tree crown can protrude from the tree trunk or first section 101 by edge length K2.This is an exemplary shape of a template according to the invention, and other shapes are possible, with the different shapes having different advantages for the cushion according to the invention. In Figure 4, the following can apply by way of example: Bi = K2 = 4.8 cm, Li = L2 = 9.5 cm. The radii of curvature, Ri, R2 and R3, of circles of curvature at points or sections of the second section 102 (e.g. treetop or mushroom cap) can be partially or all the same size, or all different. Preferably, each of the radii of curvature Ri, R2 and R3 is between 3 cm and 4 cm, particularly preferably: RI = 3.6 cm, R2 = 3-7 cm, R3 = 3-7 cm.

[0068] Figures 5 to 11 show examples of templates 1 or sheets 10 of foldable cushioning material according to the invention. In the case of templates 1, the edges, perimeters, or outlines of the shapes shown are predetermined cutting lines. In the case of sheets 10, the lines are outlines of the sheets 10. The illustrated shapes and dimensions can be those of the template 1 or sheet 10 according to the invention, for example, after the sheet 10 has been cut out along the predetermined cutting line of the template 1. Here, too, the first section 101 extends over a length Li, and the second section 102 over a length L2. Li and L2 together can form a longitudinal axis.

[0069] Figure 5 shows an exemplary shape of the template 1 according to the invention or of the sheet 10 according to the invention, which corresponds to a tree or a mushroom. Such a sheet 10 can be the result after a sheet of foldable cushioning material has been cut out along the predetermined cutting lines of the template 1 according to Figure 4. In Figure 5, for example, Bi = K2 = 4.8 cm, L 1 = L2 = 9.5 cm, B2 = 14.4 cm or Bi = K2 = 6 cm, L 1 = L2 = 11 cm, B2 = 18 cm can apply and the radius of curvature Ri can be between 3 cm and 4 cm, preferably 3.6 cm. Again, the edge of the treetop or the cap of the mushroom can have one or more partially different radii Ri.

[0070] Figure 6 shows another exemplary shape of the stencil 1 according to the invention or of the sheet 10 according to the invention, which corresponds to a pointed tree or a pointed mushroom. In Figure 6, for example, Bi = 5 cm, K2 = 6 cm, L 1 = L2 = 12 cm, B2 = 17 cm can apply. The radii of curvature, Ri, R2 and R3, of circles of curvature at points or sections of the second section 102 (e.g. treetop or mushroom cap) can be partially (e.g. Ri = R2, R3 but different from Ri and R2) or all the same size or all different. Preferably, each of the radii of curvature Ri, R2 and R3 is between 1 cm and 6 cm. The edge of the treetop or the cap of the mushroom can have two, three or more partially different radii Ri, R2 and R3.

[0071] Figure 7 shows another exemplary shape of the template 1 according to the invention or the sheet 10 according to the invention, which corresponds to a tree or a mushroom with a wavy treetop or mushroom cap. In Figure 7, for example, Bi = 5 cm, K2 = 5 cm, L1 = L2 = 10 cm, B2 = 15 cm can apply. The edge of the treetop or the mushroom cap can be wavy and have rounded and straight sections in sections, and these rounded and straight sections can alternate.

[0072] Figure 8 shows another, simpler exemplary shape of the template 1 according to the invention or the sheet 10 according to the invention, which corresponds to a tree or a mushroom with a rectangular crown or mushroom cap. In Figure 8, for example, Bi = 5 cm, K2 = 5 cm, L1 = L2 = 10 cm, B2 = 15 cm can apply. The edge of the crown or the mushroom cap is straight.

[0073] Figure 9 shows another exemplary shape of the stencil 1 according to the invention or of the sheet 10 according to the invention, which deviates from a tree shape or mushroom shape. In Figure 9, for example, Bi = B2 = 13 cm, K2,2 = 11 cm, K2,I = Ki,i = 5 cm, Kl,2 = 7 cm, L1 = 11 cm, L2 = 15 cm, B2 = 15 cm. Figure 10 shows another exemplary shape of the stencil 1 according to the invention or of the sheet 10 according to the invention. In Figure 10, for example, Bi = 11 cm, B2 = 14 cm, K2 = 6 cm, Ki,i = Kl,2 = 8 cm, L1 = 12 cm, L2 = 13 cm, Ri = 4.9 cm.

[0074] Figure 11 shows another exemplary form of the stencil 1 according to the invention or of the sheet 10 according to the invention. In Figure 11, for example, Bi = 7 cm, B2 = 13 cm, K2 = 5 cm, Li,i = 2 cm, L 1,2 = 9 cm, L1 = L1,1 + L1,2. Furthermore, for example, L2 = 11 cm. The radii of curvature, Ri, R2, R3, and R4, of circles of curvature at points or sections of the first or second section can be partially or all the same size, or all different. Preferably, each of the radii of curvature Ri, R2, and R3 is between 1 cm and 6 cm.

[0075] The means described here, which differ from the approach commonly used in the state of the art, individually and in combination lead to complete pressure relief of a heel ulcer with optimal pressure distribution, whereby this is achieved with reduced loss of mobility, high stability and low cost.

[0076] Several embodiments of the disclosure have been described. The disclosure may (alternatively) be described by the following numbered aspects.

[0077] ASPECTS

[0078] 1. A pad for at least partially relieving pressure on a wound on a heel, the pad comprising: a first section for contact with the distal lower leg in the region of the Achilles tendon; and a second section adjacent to the first section for contact with the heel, wherein the second section is folded against the first section in the region of the transition of the sections such that the second section is designed to extend onto and along the heel and towards the sole of the foot; wherein the first and / or second section of the pad is designed to receive a recess in the region of the wound by means of a cutting tool in order to at least partially relieve pressure on the wound.

[0079] 2. The cushion according to aspect 1, wherein a part of the periphery of the second portion of the cushion is configured to releasably contact the first portion of the cushion, in particular a part of the periphery of the first portion of the cushion.

[0080] 3. The pad according to aspect 1 or 2, wherein the pad has a first fastening means in the region of the first section for attaching the first section to the skin of the distal lower leg in the region of the Achilles tendon. 4- The pad according to aspect 3, wherein the fastening means comprises adhesive means, preferably one or more adhesive strips, one or more hook-and-loop strips, and / or one or more adhesive strips.

[0081] 5. The cushion according to aspect 4, wherein the adhesive strips or bands extend transversely to the longitudinal axis of the first portion of the cushion.

[0082] 6. The pad according to any one of the preceding aspects, wherein the pad has a second fastening means in the region of the second portion for fastening the second portion to the heel and / or the sole of the foot.

[0083] 7. The pad according to any one of the preceding aspects, wherein the first and / or second portion has the recess for at least partial exposure and / or an edge of the recess is adapted to at least partially or completely surround an edge of the wound.

[0084] 8. A sheet of foldable cushioning material, comprising: a first portion of the foldable cushioning material and a second portion of the foldable cushioning material adjacent to the first portion; wherein the length and shape of boundaries of the portions are configured such that when one of the two portions is folded against the other of the two portions in the region of the transition of the portions, the sheet forms a cushion according to any of the preceding aspects.

[0085] 9. Sheet according to aspect 8, wherein the length and shape of the boundaries of the sections are determined by the length and shape of the predetermined cutting lines of the template according to one of the following aspects.

[0086] 10. Cushion or sheet according to any one of the preceding aspects, wherein the cushion and / or cushioning material is made of an air-permeable and / or self-adhesive material, and / or wherein the cushion and / or cushioning material is made of cotton, nonwoven fabric, felt, foam, silicone, spacer fabrics, gels, 3D printed materials, rubber mats, synthetic leather, synthetic fur, leather, natural fur, textile structures, air-filled cushioning materials, pneumatically adjustable materials and / or microfibers, preferably wherein the cushion and / or cushioning material comprises polyester.

[0087] 11. A cushion or sheet according to any one of the preceding aspects, wherein the first and / or second portion of the cushion and / or sheet comprises a single layer of cushioning material or two, three or more layers of cushioning material arranged one above the other.

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

[0089] 13. A template comprising: predetermined cutting lines; a first portion of the template at least partially defined by a portion of the predetermined cutting lines; and a second portion of the template at least partially defined by another portion of the predetermined cutting lines, the second portion being adjacent to the first portion; and wherein the length and shape of the predetermined cutting lines are such that a sheet of foldable cushioning material, when the foldable cushioning material is cut along the predetermined cutting lines and subsequently folded, forms a cushion according to any of the preceding aspects.A pad, arch, or template according to any one of the preceding aspects, wherein the first and / or second portion is / are dimensioned such that it is suitable for application 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 surface of the heel or even to the entire heel, preferably simultaneously. A pad, arch, or template according to any one of the preceding aspects, wherein the first portion is dimensioned such that it is suitable for application to at least a portion of the distal lower leg in the region of the Achilles tendon, preferably simultaneously. A pad, arch, or template according to any one of the preceding aspects, wherein the pad, arch, or template tapers at the transition from the second portion to the first portion.A pad, sheet, or template according to any one of the preceding aspects, wherein the first portion, together with the second portion, has a longitudinal axis. A pad, sheet, or template according to aspect 17, wherein an extension of the second portion in a direction transverse to the longitudinal axis is greater than or equal to an extension of the first portion in the direction transverse to the longitudinal axis, preferably wherein the direction is perpendicular to the longitudinal axis. A pad, sheet, or template according to any one of the preceding aspects 17 to 18, wherein the maximum width of the first portion transverse to the longitudinal axis is less than or equal to the maximum width of the second portion transverse to the longitudinal axis. A pad, sheet, or template according to any one of the preceding aspects 17 to 19, wherein the maximum width of the first portion transverse to the longitudinal axis is 3-15 cm, 4-14 cm, 4-13 cm, 4-11 cm, 4-8 cm, or about 5 cm.The pad, sheet, or template according to any of the preceding aspects 17 to 20, wherein the maximum width of the second portion 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. The pad, sheet, or template according to any of the preceding aspects 17 to 21, wherein the maximum length of the first portion 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. 23- A pad, sheet or template according to any one of the preceding aspects 17 to 23, wherein the maximum length of the second portion 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.

[0090] 24. The pad, sheet, or template of any of the preceding aspects 17 to 23, wherein the maximum length of the second portion along the longitudinal axis is less than or equal to the maximum length of the first portion along the longitudinal axis.

[0091] 25. A pad, sheet or template according to any one of the preceding aspects, wherein the second portion is in the shape of a semicircle, preferably wherein the radius of the semicircle is 8-14 cm, 9-12 cm, 9-11 cm or about 10 cm.

[0092] 26. A pad, sheet or template according to any one of the preceding aspects, wherein the pad, sheet or template has the shape of a tree, the first section forming the trunk of the tree and the second section forming the crown of the tree.

[0093] 27. A pad, sheet or template according to any one of the preceding aspects, wherein the pad, sheet or template is in the shape of a mushroom, the first portion forming the stem of the mushroom and the second portion forming the cap of the mushroom.

[0094] 28. A pad, bow or template according to any one of the preceding aspects, wherein the second portion has the shape of an arrow, a flower or a cloud.

[0095] 29. A pad, sheet or stencil of any of the preceding aspects, wherein the first portion and / or the second portion each has the shape of a polygon.

[0096] 30. A pad, sheet or template according to any one of the preceding aspects, wherein the first portion and / or the second portion each has the shape of a rectangle.

[0097] 31. A pad, sheet or stencil according to any one of the preceding aspects, wherein the first portion and / or the second portion each has the shape of a pentagon or a hexagon.

[0098] 32. A pad, sheet or stencil according to any one of the preceding aspects, wherein the first portion and / or the second portion each has one or more edges, preferably wherein each of the edges has an edge length of 2 cm to 18 cm, 4 cm to 16 cm, 4 cm to 14 cm, 4 cm to 12 cm, 4 cm to 8 cm, 4 cm to 6 cm or about 5 cm.

[0099] 33. A pad, sheet, or template according to any one of the preceding aspects, wherein the perimeter of the first portion and / or the second portion is at least partially rounded or wave-shaped. 34. A pad, sheet, or template according to any one of the preceding aspects, wherein the perimeter of the first portion and / or the second portion is at least partially rounded or wave-shaped at one end of the respective portion.

[0100] 35. A pad, sheet of the template according to any one of the preceding aspects, wherein the perimeter of the first portion is rounded or wavy at one end of the first portion and the perimeter of the second portion is rounded or wavy at one end of the second portion, preferably wherein the two ends are opposite.

[0101] 36. A pad, sheet or template according to any of the preceding aspects 17 to 35, wherein the longitudinal axis is an axis of symmetry of the first portion and / or the second portion.

[0102] 37. Pad, sheet or template according to any of the preceding aspects 33 to

[0103] 36, wherein the respective part of the circumference of the first portion and / or second portion which is rounded or wavy crosses the longitudinal axis.

[0104] 38. Pad, sheet or template according to any of the preceding aspects 26 to

[0105] 37, wherein the circumference of the crown or cap is at least partially rounded or wavy.

[0106] 39. A kit, the kit comprising: the template according to any one of the preceding aspects; and a sheet of foldable cushioning material, preferably according to any one of the preceding aspects.

[0107] 40. The kit according to aspect 39, further comprising: a cutting tool, in particular scissors or paper scissors, for cutting the upholstery material.

[0108] 41. The kit of aspect 39 or 40, further comprising: a wound dressing and / or a foam dressing for wound treatment of the heel wound.

[0109] 42. The kit of any preceding aspect, further comprising: one or more attachment means for attaching the pad to the heel.

[0110] 43. The kit according to aspect 42, wherein the fastening means comprise an adhesive tape and / or fixation plaster.

[0111] 44. The kit according to aspect 42 or 43, wherein the fastening means comprise a hook and loop fastener and / or adhesive tape.

[0112] 45. The kit according to any one of the preceding aspects, further comprising: one or more pins for applying a marking to the wound dressing and / or for applying a marking to the cushioning material. 46. The kit according to any one of the preceding aspects, further comprising a cushioning dressing.

[0113] 47. The kit of aspect 46, wherein the cushioning bandage comprises a tubular bandage and / or cotton.

[0114] 48. The kit according to any one of the preceding aspects, further comprising: a bandage shoe.

[0115] 49. The kit of any preceding aspect, further comprising: a punching tool for punching holes in the cushioning material.

[0116] 50. The kit according to any one of the preceding aspects, wherein the cushioning material is made of a breathable and / or self-adhesive material.

[0117] 51. The kit according to any one of the preceding aspects, wherein the padding material is made of felt, foam and / or silicone.

[0118] 52. The kit of any preceding aspect, wherein the cushioning material comprises polyester.

[0119] 53. The kit according to any one of the preceding aspects, wherein the cushioning material has a thickness of at least 1 mm, 2 mm, 3 mm, 4 mm, 5 mm or 6 mm.

[0120] 54. Use of the sheet of foldable padding material according to any one of the preceding aspects for a pad for relieving pressure on a wound on a heel, wherein the pad relieves the wound at least partially or completely of pressure by means of a recess provided in the pad in the region of the wound.

[0121] 55. Use of the pad according to any one of the preceding aspects for a device for relieving pressure on a wound on a heel, wherein the pad relieves the wound at least partially or completely of pressure by means of a recess provided in the second portion of the pad in the region of the wound.

[0122] 56. A method of manufacturing a cushion for a heel of a foot, the method comprising:

[0123] Providing the sheet of foldable cushioning material according to any one of the preceding aspects;

[0124] Applying the first section of the padding material to the distal lower leg in the area of ​​the Achilles tendon;

[0125] Folding the second section of the cushioning material in the area of ​​the transition of the sections against the first section;

[0126] Applying the second portion of the cushioning material to the heel such that the second portion extends onto and along the heel and toward the sole of the foot;

[0127] Marking a location on the applied first and / or second portion of the cushioning material, wherein the marked location corresponds to a position of a wound on the heel;

[0128] Removing the marked padding material from the foot; and making a recess in the padding material of the removed padding material at the marked location, wherein the recess is dimensioned such that the recess is suitable for at least partially or completely exposing the wound.

[0129] 57. The method according to aspect 56, wherein the preparation of the recess is carried out by means of a cutting or punching tool.

[0130] 58. The method according to any one of the preceding aspects, wherein the recess is shaped and dimensioned such that an edge of the recess at least partially or completely surrounds an edge of the wound.

[0131] 59. The method according to any one of the preceding aspects, wherein the recess has a size equal to or greater than the size of the wound, preferably wherein the edge of the recess is consistently spaced at least 1 mm to 3 mm, preferably 2 mm, from the wound edge.

[0132] 60. The method of any preceding aspect, wherein the method does not include attaching the fabricated cushion to the foot for pressure relief.

[0133] 61. The method according to any one of the preceding aspects, wherein the application of the first portion and / or the second portion is each a loose application without fastening to the foot.

[0134] 62. The method of any preceding aspect, wherein providing the sheet of foldable cushioning material comprises

[0135] Placing the template according to one of the preceding aspects on the upholstery material; and

[0136] Cutting the upholstery material along the specified cutting lines of the template.

[0137] 63. The method of aspect 62, wherein cutting the cushioning material along the predetermined cutting lines of the template comprises:

[0138] Cutting the cushioning material along the specified cutting lines to cut out the first section of the template around the first section of the sheet; and cutting the cushioning material along the specified cutting lines to cut out the second section of the template around the second section of the sheet.

[0139] 64. The method according to aspect 62 or 63, wherein the cutting of the cushioning material along the predetermined cutting lines of the template is carried out by means of a cutting tool, preferably scissors or paper scissors.

[0140] 65. The method according to any one of the preceding aspects, wherein the folding of the second portion in the region of the transition of the portions against the first portion occurs before, simultaneously with, or after the application of the first portion of the padding material to the distal lower leg in the region of the Achilles tendon.

[0141] 66. The stencil according to any one of the preceding aspects, wherein the stencil is made of paper, cardboard or other cuttable material, or wherein the stencil is a digital object, preferably a file for printing and / or downloading.

[0142] The description and figures describe preferred embodiments of the disclosure claimed by the appended claims. The optional features disclosed in the above description, claims, and drawings may be used both individually and in any combination to implement the disclosure claimed here according to the appended claims in its various forms.

[0143] The various aspects and embodiments described above may be combined to create yet further embodiments. These and other changes may be made to the embodiments in light of the above detailed description. In general, the terms used in the following claims should not be construed to limit the claims to the specific aspects and embodiments disclosed in the description and claims, but rather to encompass all possible embodiments, along with the full scope of equivalents to which such claims are entitled.

Claims

Claims 1. A cushion (100) for at least partially relieving pressure on a wound (1001) on a heel (1002), the cushion (100) comprising: a first section (101) for contact with the distal lower leg in the region of the Achilles tendon; and a second section (102) adjacent to the first section (101) for contact with the heel (1002), wherein the second section (102) is folded against the first section (101) in the region of the transition of the sections (101, 102) such that the second section (102) is designed to extend onto and along the heel (1002) and towards the sole of the foot (1003); wherein the first and / or second section (101, 102) of the pad (100) is designed to obtain a recess (104) in the region of the wound (1001) by means of a cutting tool in order to at least partially relieve the wound (1001) of pressure.

2. The cushion (100) according to claim 1, wherein the second portion (102) is folded against the first portion (101) in the region of the transition of the portions (101, 102) such that the second portion (102) is designed to extend onto and along the plantar-side region of the heel bone.

3. The pad (100) according to claim 1 or 2, wherein the sections (101, 102) of the pad are folded against each other in the region of the transition of the sections (101, 102) such that the first section (101) and / or the second section (102) is / are designed to extend onto and along the region at the dorsal end, in particular at the tuber calcanei, of the heel bone.

4. The pad (100) according to claim 1, 2 or 3, wherein the sections (101, 102) of the pad are folded against each other in the region of the transition of the sections (101, 102) such that the padding material extends on the skin of the heel from the distal lower leg in the region of the Achilles tendon over the dorsal end, in particular the tuber calcanei, of the heel bone to the plantar-side region of the heel bone, preferably continuously.

5. A pad (100) for at least partially relieving pressure on a wound (1001) on a heel (1002), the pad (100) comprising: a first portion (101) for contact with the distal lower leg in the region of the Achilles tendon and in the region at the dorsal end, in particular at the tuber calcanei, of the heel bone; and a second portion (102) which has preferably been separated from the first portion (101), wherein the second portion (102) is arranged relative to the first portion (101) such that: the second portion (102) is designed to extend onto and along the heel (1002), in particular in the plantar region of the heel bone, and towards the sole of the foot (1003), and to keep an area (104) comprising at least a portion of the wound (1001) free of padding material in order to at least partially relieve the wound (1001) of pressure.

6. The cushion (too) according to any one of the preceding claims, wherein a part of the circumference of the second portion (102) of the cushion (100) is designed to releasably contact the first portion (101) of the cushion (100), in particular a part of the circumference of the first portion (101) of the cushion (100).

7. The pad (100) according to any one of the preceding claims, wherein the pad (100) has, in the region of the first portion (101), a first fastening means (105) for fastening the first portion (101) to the skin of the distal lower leg in the region of the Achilles tendon.

8. A sheet (10) of preferably foldable cushioning material, comprising: a first section (101) of the foldable cushioning material and a second section (102) of the foldable cushioning material adjacent to the first section (101); wherein the length and shape of boundaries of the sections (101, 102) are designed such that the sheet (10) forms a cushion (100) according to one of claims 1 to 7 when one of the two sections (101, 102) is folded against the other of the two sections (101, 102) in the region of the transition of the sections (101, 102) or when one of the two sections (101, 102) is arranged relative to the other of the two sections (101, 102).

9. Cushion (100) or sheet (10) according to one of the preceding claims, wherein the cushion (100) or cushioning material is made of an air-permeable and / or self-adhesive material, and / or wherein the cushion and / or cushioning material is made of cotton wool, nonwoven fabric, felt, foam, silicone, spacer fabrics, gels, 3D printed materials, rubber mats, synthetic leather, synthetic fur, leather, natural fur, textile structures, air-filled cushioning materials, pneumatically adjustable materials and / or microfibers, preferably wherein the cushion (100) or cushioning material comprises polyester.

10. The cushion (100) or sheet (10) according to any one of the preceding claims, wherein the first and / or second portion of the cushion (100) or cushioning material has a thickness of at least 5 mm or at least 10 mm.

11. A template (1) comprising: predetermined cutting lines; a first portion (101) of the template (1) which is at least partially delimited by a portion of the predetermined cutting lines; and a second portion (102) of the template (1) which is at least partially delimited by another portion of the predetermined cutting lines, the second portion (102) being adjacent to the first portion (101); and the length and shape of the predetermined cutting lines being such that a sheet (10) of preferably foldable cushioning material, when the cushioning material is cut along the predetermined cutting lines and preferably subsequently folded, forms a cushion (100) according to any one of the preceding claims.

12. Sheet (10) according to one of the preceding claims 8 to 10, wherein the length and shape of the boundaries of the sections (101, 102) are given by the length and shape of the predetermined cutting lines of the template (1) according to claim 11.

13. Pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the first and / or second portion (101, 102) is dimensioned such that it is suitable to be applied to at least a part, preferably at least 10%, 20%, 30%, 40%, 50%, 60%, 70% or 75% of the surface of the heel (1002), in particular in the region of the heel bone, preferably simultaneously and to cover this part of the surface.

14. Pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the first portion (101) is dimensioned such that it is suitable for being applied, preferably simultaneously, to at least a part of the distal lower leg (1004) in the region of the Achilles tendon.

15. A pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the pad (100), sheet (10) or template (1) tapers at the transition from the second portion (102) to the first portion (101).

16. Pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the first portion (101) together with the second portion (102) has a longitudinal axis, wherein an extension of the second portion (102) in a direction transverse to the longitudinal axis is greater than or equal to an extension of the first portion (101) in the direction transverse to the longitudinal axis, preferably wherein the direction is perpendicular to the longitudinal axis and / or wherein the maximum width of the first portion (101) transverse to the longitudinal axis is less than or equal to the maximum width of the second portion (102) transverse to the longitudinal axis.

17. The pad (100), sheet (10) or template (1) according to claim 16, wherein the maximum width of the first portion (101) transverse to the longitudinal axis is 3-15 cm, 4-14 cm, 4-13 cm, 4-11 cm, 4-8 cm or about 5 cm; and / or wherein the maximum width of the second portion (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. A pad (100), sheet (10) or template (1) according to any one of the preceding claims 16 or 17, wherein the maximum length of the first portion (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 wherein the maximum length of the second portion (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. Cushion (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the cushion (100), sheet (10) or template (1) has the shape of a tree, wherein the first section (101) forms the trunk of the tree and the second section (102) forms the crown of the tree, or wherein the cushion (100), the sheet (10) or the template (i) has the shape of a mushroom, the first section (101) forming the stem of the mushroom and the second section (102) forming the cap of the mushroom.

20. A pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the first portion (101) and / or the second portion (102) each has the shape of a rectangle.

21. A pad (100), sheet (10) or template (1) according to any one of the preceding claims, wherein the periphery of the first portion (101) and / or the second portion (102) is each at least partially rounded or wavy.

22. A kit (500), the kit (500) comprising: the template (1) according to any one of the preceding claims; and a sheet (10) of cushioning material, preferably according to any one of the preceding claims.

23. The kit (500) of claim 22, further comprising: a wound dressing (2000) and / or foam dressing for wound treatment of the wound (1001) on the heel (1002).

24. The kit (500) according to any one of the preceding claims 22 to 23, further comprising: one or more fastening means (105) for attaching the pad (100) to the heel (1002).

25. The kit (500) of any one of the preceding claims 22 to 24, further comprising a cushioning bandage.

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

27. A method (1200) for manufacturing a cushion (100) for a heel (1002) of a foot, the method comprising: Providing (1201) the sheet (10) of preferably foldable cushioning material according to one of the preceding claims; Applying (1204) the first portion (101) of the padding material to the distal lower leg in the region of the Achilles tendon, preferably in the region at the dorsal end of the heel bone, in particular at the tuber calcanei, of a preferably unloaded heel; Folding the second section (102) of the cushioning material in the region of the transition of the sections (101, 102) against the first section (101) or arranging the second section (102) of the cushioning material separated from the first section relative to the first section (101); and Applying (1205) the second portion (102) of the cushioning material to the preferably unloaded heel (1002) such that the second portion (102) extends on and along the heel (1002), in particular in the plantar region of the heel bone, and in the direction of the sole of the foot (1003).

28. The method of claim 27, further comprising: Marking a location on the applied first and / or second portion (102) of the cushioning material, wherein the marked location corresponds to a position of a wound (1001) on the heel (1002); depositing (1206) the marked cushioning material from the foot (1000); and Producing (1207) a recess (104) in the padding material of the deposited padding material at the marked location, wherein the recess (104) is dimensioned such that the recess (104) is suitable for at least partially or completely exposing the wound (1001).

29. The method (1200) of claim 28, wherein the recess (104) is shaped and dimensioned such that an edge of the recess (104) at least partially or completely surrounds an edge of the wound (1001).

30. The method (1200) according to any one of the preceding claims 28 to 29, wherein the recess (104) has a size that corresponds to or is larger than the size of the wound (1001), preferably wherein the edge of the recess (104) is consistently spaced at least 1 mm to 3 mm, preferably at least 2 mm, from the wound edge.

31. The method (1200) according to any one of the preceding claims 27 to 30, wherein the method does not comprise attaching the manufactured cushion to the foot (1000) for pressure relief; and / or wherein the application of the first portion (101) and / or the second portion (102) is each a loose application without attachment to the foot (1000).

32. The method (1200) of any one of the preceding claims 27 to 31, wherein providing the sheet (10) of foldable cushioning material comprises Placing (1202) the template (1) according to one of the preceding claims on the cushioning material; and Cutting (1203) the upholstery material along the specified cutting lines of the template (1).

33. The method (1200) of claim 32, wherein cutting the cushioning material along the predetermined cutting lines of the template (1) comprises: Cutting (1203) the cushioning material along the predetermined cutting lines around the first portion (101) of the template (1) around the first portion (101) of the sheet (10); and Cutting (1203) the cushioning material along the predetermined cutting lines to cut out the second section (102) of the template (1) to cut out the second section (102) of the sheet (10). 34- The method (1200) of claim 33, further comprising: Separating the first section (101) of the sheet (10) from the second section (102) of the sheet (10) by cutting out a recess (104) at the transition of the two sections (101, 102) of the sheet (10).

35. The method (1200) of claim 34, further comprising: Cutting the severed first section (101) of the arch (10) along the longitudinal axis (Li) of the first section (101) in order to separate the severed first section (101) transversely (Bi) to the longitudinal direction into a plurality of parts, which preferably together form the first section (101) to be applied to the distal lower leg in the region of the Achilles tendon, and preferably in the region of the dorsal end of the heel bone.

36. The method (1200) according to any one of the preceding claims 27 to 35, wherein the folding of the second portion (102) in the region of the transition of the portions (101, 102) against the first portion (101) takes place before, simultaneously with or after the application of the first and / or second portion (102) of the cushioning material to the foot (1000).

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

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