专利摘要:
bidirectional assistance and damping unit. the dynamic platform with extending struts was attached to them with a bidirectional torsional power unit to selectively deliver opposing force, either extension or flexion, and to provide assistance in a respective opposite direction. the power unit is threaded mounted on a hinge pin (spline) located centrally on the platform, and is closed to a catch joint radially located thereon, the pivot pin of the platform communicating with one end of a torsion spring of the unit power supply and the pick up assembly communicate with one end of the torsion spring, to selectively deliver extension/flexion force. the power unit can be detached, with simple manual operation of the grab assembly, without tools, flipped over and re-attached to the same platform attachment points to switch (reverse) torque extension to bending torque and vice versa.
公开号:BR112015025953B1
申请号:R112015025953-7
申请日:2014-04-10
公开日:2022-01-11
发明作者:Mark Deharde
申请人:Ultraflex Systems, Inc;
IPC主号:
专利说明:

RELATED ORDER
[001] This application claims priority from US Interim Application No. 61/810,412, filed April 10, 2013, entitled "Bidirectional Shock Absorber/Assistance Unit." The related application identified above is incorporated herein by reference. FIELD OF THE INVENTION
[002] The present invention relates generally to hinge or joint devices in general, and more particularly to a hinge or joint assembly, at the ankle, wrist, knee or ankle, adapted to exert a bidirectional force on the joint of the body to allow dynamic shock absorption and return assistance, while allowing for normal, or near-normal, ambulatory movement. BACKGROUND OF THE INVENTION
[003] To treat flexion and extension contractures, spring compression splint units have been developed to deliver force across a body joint. These splint devices provide tension that acts in opposition to a flexion or extension contracture and thus not only provides support in cases where muscle weakness exists, but also improves rehabilitation. Generally, treatment involves lengthening the short muscles and reducing soft tissue contracture caused by various pathologies that result in limitations of joint movement. In one example, two brackets are pivotally interconnected, and include a spring bias unit therebetween to apply an adjustable force at the pivot point between the interconnected struts.
[004] For useful background information, US 5,658,241 to DeHarde includes an earlier teaching, generally, of torsional power units, multifunctional dynamic splints, spring bias adjustment mechanisms, motion limiters, and bidirectional functionality. DeHarde, US 5,658,241, incorporated herein by reference for its helpful detailed description of the various components of the assembly, their interaction and functionality, all providing a better appreciation and basis for the present invention. More particularly, US 5658241 teaches a dynamic splint using a bidirectional torsional power unit secured between first and second supports to selectively deliver an opposing force, either extension or flexion. In US 5,658,241, the feeding apparatus is mounted on a pivot pin and can be rotated about the pivot pin between two positions. In a first position, the feed unit is locked with respect to the first support and the torsion spring opposes movement of the second support in a first direction. Rotated around the pivot pin to a second position, the power unit is locked in relation to the second bracket. In this second position, the torsion spring opposes movement of the first support relative to the second support, providing torque in a direction opposite to that of the first position. SUMMARY OF THE INVENTION
[005] The present invention is a joint assembly providing a dynamic and universal platform, with supports extending therefrom, having attached thereto, a bidirectional torsional power unit to selectively distribute an opposing force either of extension or flexion. . The supply unit includes a torsion spring, such as a circular leaf spring. In the present invention, the power unit can be easily reversed to provide flexion or extension force to any human joint by simply turning the power unit over and snapping the power unit back into place on the platform. The power supply unit is mounted on a pivot pin (slot) of the platform, and also connects to a guide, the pin or lock communicating with one of the supports.
[006] The linkage assembly of the present invention (dynamic platform and power unit combination) provides a thinner, lighter, lower profile design with greater functionality and more adaptable torque characteristics. The present invention may, for example, be a joint assembly for a prosthetic or orthopedic rehabilitation device; or, in general, an articulated splint-like device for applying force across a body joint.
[007] Furthermore, the present invention provides a platform having a unique worm gear range of motion (ROM) limiters capable of infinitely limiting any angular joint displacement required to match or exceed the desired body joint motion. Gear ADM limiters can work in conjunction with hard stops in the arcuate groove. In various embodiments, one or two worm gears may be employed on the platform to limit the range of motion. In any embodiment, the platform of the present invention can be easily fitted to a human elbow, knee, ankle or wrist joint. In his opinion, any limit to the range of motion (within the normal range of motion for the respective body set) can be defined, in either direction - extension or flexion. In addition, the platform can provide a closure element for any 7.5 degree of movement, or any degree of movement, and also provide a free movement option, for ease of donning and doffing the associated support. In another aspect of the invention, two platform sizes (and two power unit sizes) can facilitate any articulation of the human body, the full range of motion thereof, and various resistance/torque assists.
[008] As mentioned above, the inversion of extension torque into bending torque can be achieved by inverting the power supply unit. The slot interface between the platform and the feed unit allows a user to match the required range of motion for the desired body joint with that possible by the present invention. Therefore, the desired range of motion of the body joint can be combined with the full spring deflection possible for the power unit to produce torque over the same range of motion to provide a desired flexion or extension force. The platform slot transmits touch from the power unit to rotate the platform (i.e., to angularly move the supports relative to each other) and the associated key attached thereto to produce a desired clinical benefit.
[009] In one aspect of the present invention, the power unit allows 150 degrees of resist/assist torque and the groove guides this resist/assist torque range of motion to the desired range of the platform. Each striated tooth can change the range of motion by 15 degrees to enable this advantageous feature. The splined connection (i.e. the feed unit mounted in the slot of the platform) could be used to transmit any force creating mechanism (i.e. the feed unit) to a linkage (i.e. the platform) having an arrangement of support to control, enhance or dampen support and therefore control, aid or dampen any movement of the respective joint of the body.
[010] In a general embodiment of the present invention, a pivot assembly includes a first support and a second support pivotally connected to each other at a pivot point. A groove generally extends in a first direction, radially through the first support and the second support and serves as the pivot point. The slot can be rotatably fixed with respect to one of the first support and the second support, the other of between the first support and the second support has a single tongue extending in the first direction, located radially from the pivot point. Also included is a torsion spring having a first end and a second end, where the first end of the torsion spring is detachably connected to the extending groove and the second end of the torsion spring is detachably connected to the single extending pawl. .
[011] The torsion spring applies an opposite polarizing force in relation to the articulated movement between the first and second supports, in a first of two opposite directions, and assists the rotational movement in a second direction of the opposite directions. The torsion spring can be detached from the extended groove and the single extension pawl, turned, and re-attached. Re-attachment involves reattaching the first end of the torsion spring to the extended slot and the second end of the torsion spring to the single extending pawl. An opposing polarizing force is then applied to relative hinge movement between the first and second supports in the second of opposite directions, along with the aid of hinge motion in the first of opposite directions.
[012] The pivot assembly may also include a tension sprocket mounted around the pivot point and rotatably fixed with respect to the groove, and an axially rotating but otherwise fixed gear located about a perimeter of the tensioning wheel. , the worm gear communicating with the tension wheel to preload the torsion spring.
[013] In another embodiment of the present invention, the articulated device used to apply a force through a joint of the body includes a platform that has a first support, a second support; and a joint assembly having a groove threaded at a pivot point thereof. The threaded groove is viably fixed to one of the first or second supports - the other of the first support or the second support has a tongue situated radially from the pivot point, the first support and the second support rotating relative to each other about the point of articulation.
[014] The hinged device also includes a power unit that has a torsion spring, and a housing that features an internally threaded receiving slot, located centrally on each of the opposite sides of the power unit housing. The receiving groove is conveniently connected to a first end of the torsion spring. The housing also has a pawl receiver similarly located on each opposite side of the feed unit housing, the pawl receiver being viably connected to a second end of the torsion spring.
[015] In this embodiment, when a first side of the housing is exposed away from and opposite the platform, the power unit faces the platform to apply a polarizing force opposite to the relative pivoting movement between the first and second supports, in a first of two opposite directions, and assisting rotational motion in a second of opposite directions. When a second side of the housing is exposed away from and opposite the platform, the power unit causes the platform to apply a polarizing force opposite to the relative pivot movement between the first and second supports in the second of opposite directions, and assisting the joint movement in the first of opposite directions.
[016] The power supply unit can be uncoupled, inverted and replaced with the platform (inverted), without the use of tools. The power unit is inverted from the first side of the housing being exposed away from and opposite the platform to the second side of the housing being exposed away from and opposite the platform. Inverting the power supply unit on the platform is accomplished without dismantling a spring housing, or requiring the dismantling of a spring device. Neither does reversing the platform power unit (reversing the direction of force) require the use of a different spring(s), or reassembly of the spring in different holes or at different points of contact (attachment points) on the platform.
[017] In the present invention, the attachment points between the power supply unit and the platform may only consist of a receiving groove located centrally on each side of the power unit housing, to a platform groove, the receiver of a pawl similar axially located on each side of the power unit housing, and a tongue on the platform located radially from the pivot point.
[018] In another aspect, the articulated device of the present invention may also include an axially translatable identifier that engages a gear centered around the pivot point to arrest pivotal movement of the first support relative to the second support. The supply unit may also include an externally threaded spring band located about a perimeter of the torsion spring, centered around the pivot point, and connected to the second end of the torsion spring, and a preload gear. axially rotatable, but otherwise secured, located about the perimeter of the spring band, the preloaded worm gear communicates with the spring band to preload the torsion spring. Torsion spring, spring band and worm gear can be positioned in the same plane.
[019] The tongue of the present device of the invention could extend perpendicularly from the respective support, and its distal end includes a flange that extends perpendicularly in the direction of the pivot point, the tongue being spring-loaded to the pivot point and linearly translatable along a longitudinal axis of the respective support. The tongue receiver may be a similarly shaped and oppositely located opening on each side of the power unit housing. The spring loaded pawl could cause the lip of the opening to snap into place when the feed unit is attached to the platform. If also including the axially translatable handle, the tongue could extend perpendicularly from the respective support from within, and be surrounded by, the axially translatable handle.
[020] In another aspect, the present invention platform may further have a toothed range of motion (ADM) wheel mounted on the pivot point and which may rotate with respect to the first and second supports; and, an axially rotating, but otherwise fixed ADM worm gear located about the perimeter of the ADM wheel. The threadable ADM worm gear communicates with the ADM wheel to adjust a range of motion of the first support relative to the second support.
[021] The pivot assembly of the present invention may also include at least one last range of threaded hole rotatably fixed with respect to one of the first and second brackets, at least one end span screw inserted and extending from of at least one end hole of threaded amplitude, and an arcuate slot rotatably fixed with respect to the other of the first and second supports. The at least one end-range screw extends into the arcuate groove to limit the range of motion of the device. Here, the platform is provided for a 150° range of motion of the first and second supports.
[022] In this embodiment the hinge assembly, a position of at least one end of the threaded hole, with the gap screw at least one end inserted therein, allows the movement of the screw from one end of the range in the inside the arcuate groove from 135° of flexion to 15° of hyperextension. This provides an anatomically correct range of the knee tender. At least a second threaded hole of one end amplitude could also be included, each threaded hole of one end having a position where, with end screws inserted therein, allows movement of the end screws within the 75° arcuate slot. plantar flexion to 75° of dorsiflexion to provide an anatomically correct range of the wrist or ankle motion. The joint assembly may also include the toothed range of motion (ADM) of the wheel and the worm gear, detailed above, to adjust the range of motion of the first bracket relative to the second bracket within fixed limits set by at least one bracket. threaded hole end gap, at least one end span screw, and the arcuate slot.
[023] The ADM wheel could also include at least two angle marks stopped at the perimeter of the wheel, one mark that corresponds to an extension range limit and another mark that corresponds to a flexion amplitude limit. Here, the ADM worm gear is used to rotatably position one of the stop angle marks at an angle to a midline of the first bracket to precisely adjust the range of motion, where the angular motion platform is limited to the angle in a respective flexion or extension. In this embodiment, the ADM worm gear can be operated to finely adjust the range of motion with the power unit attached or detached from the device platform.
[024] Also included in the present invention is a method for reversing an angular direction of force applied near and above the detailed embodiment of the hinge assembly, the method including the steps of linearly translating the pawl along one longitudinal axis of the other. from the first support or the second support, away from the pivot point and in opposition to the spring force of the pawl; pulling the power unit in a direction perpendicular to the first and second supports, lifting the power unit out of the slot to remove the power unit from the platform; turning (flipping) the power unit on; threadingly engaging the housing's receiving groove with the groove while aligning the housing's tongue receiver, without the use of tools, and without the need to use any other connection point or between any platform or the power unit; and pressing the feed unit against the platform until the spring-loaded pawl causes the pawl to snap into the pawl receiver. The above steps attach the power unit to the platform by applying a polarizing force opposite to the relative pivoting motion between the first and second brackets in a direction opposite to the force applied before turning on (reversing) the power unit along, and aiding articulated movement in a direction opposite to that from before turning on the power supply unit. BRIEF DESCRIPTION OF THE ILLUSTRATED FORMS OF ACHIEVEMENT
[025] The present invention will be better understood with reference to the following description made in conjunction with the drawings. For purposes of illustration, certain embodiments of the present invention are not shown in the drawings. In the drawings, like numerals indicate similar elements throughout. It should be understood, however, that the invention is not limited to the exact arrangements, dimensions and instruments shown: FIG. 1 illustrates a bidirectional damping/auxiliary unit in accordance with an embodiment of the present invention, including the power unit attached to a platform, wherein the power unit provides bending or extension torque in accordance with respective angular movement of the supports that extend from the platform, and where the power unit can be turned to switch from extending torque to bending torque, or vice versa, in the respective angular direction; FIG. 2a illustrates a platform in accordance with an embodiment of the present invention, which includes two supports interconnected at a pivot point, with the thread groove extending therefrom, wherein the supports are located in a working position; FIG. 2b illustrates the platform of FIG. 2a, where the brackets are located in another operating position; FIG. 3 illustrates the platform of FIGs. 2a and 2b in exploded view; FIG. 4 illustrates a bidirectional damping/auxiliary unit in accordance with another embodiment of the present invention, again including power unit connected to a platform of the present invention, wherein the power unit provides extension or bending torque on the respective angular movement of supports extending from the platform, and where the power unit can be turned to switch from extension torque to bending torque, or vice versa, in the respective angular direction; FIG. 5 illustrates a side view of the bidirectional damping/auxiliary unit of FIG. 4, 5 with the power unit connected to the platform; and FIG. 6 illustrates the power unit of Figs. 4 and 5 in exploded view; FIGs. 7a, 7b, and 7c illustrate a front, side, and exploded view, respectively, of another embodiment of the platform 10 of the present invention (i.e., the platform 10 shown in Fig. 1); FIGs. 8a, 8b, 8c, 8d and 8e illustrate in perspective, top, end, opposite side and exploded views, respectively, of another embodiment of the power unit 100 of the present invention (i.e., the power unit 100). shown in Fig. 1); FIGs. 9a and 9b illustrate a front profile, a side profile and an inverse profile of the platform 10 in the embodiment of Figs. 1, 7a, 7b, 7c and; FIG. 10 illustrates a profile of a front and back profile of the supply unit 100 of the embodiment of Figs. 1, 8a, 8b, 8c, 8d and 8e; Figs 11a, 11b and 11c illustrate fine-tuning the platform 10 in the embodiment of Figs. 1, 7a, 7b, 7c, 9A and 9B, to block excessive or unwanted flexion or range of motion; and Figs 12a, 12b, 12c, 12d and 12e illustrate how to use the bidirectional damping/auxiliary unit of FIG. 1; more specifically, how to configure the platform 10 and attach the power unit 100 to certain flex/extension assistance.
[026] The base body is part of a cassette module. In particular, it can be connected to other components to provide a ready-to-use cassette module. It has been successful to manufacture cassette modules in a flat shape, so that cassette module and dialysis machine wrapping can be achieved in this way. DETAILED DESCRIPTION OF THE ILLUSTRATED FORMS
[027] The present invention provides a dynamic platform, having supports extending therefrom, and having fixed thereto a bidirectional torsion feed unit, between the first and second supports. The torsional power unit selectively provides opposing force, either extension or flexion, while providing assistance in a respective opposite direction is taking place. The twist feed unit is mounted on a hinge pin (slot) extending from a pivot point of the platform, where the feed unit can be flipped to alternate (reverse) force opposing extension or inflection for the respective other. FIG. 1 illustrates a bidirectional damping/auxiliary unit 5 in accordance with an embodiment of the present invention, including power unit 100 and platform 10. FIGs. 2-3 illustrate a platform 10 of the present invention that includes first and second supports 12, 14 interconnected at a pivot point 16, with thread groove 18 extending therefrom, FIG. 3 illustrates an exploded view. Thread groove 18 is rotatably fixed with respect to second bracket 14. The pivot point and platform components other than brackets 12, 14 form a pivot assembly.
[028] FIG. 2a illustrates platform 10 in a working position, aligned for use (appropriate range of motion (ROM) for) a knee or elbow joint. Alignment of the platform 10 is shown by graduated markings 20 displayed to one side of the platform 10. The alignment of the platform is performed by manually operating a toothed disc 22, associated and aligned with the first support 12, to linearly translate the toothed disc 22 into relative to the first support 12, to engage a stationary alignment sprocket 24. FIG. 2b illustrates the platform in another working position, aligned for use (range of motion appropriate for) an ankle or wrist. In one embodiment, each graduated marking represents 15 degrees, which is equal to the degree-associated interval for each segment of groove 18.
[029] Alignment is shown by a guide or pin 26. The guide 26 is fixed with respect to, and extends to a relative location of the end of, the first support 12. Therefore, the first support 12 and the second support 14 communicate with the hinge assembly, provided that the first support 12 can pivotally move with respect to the second support 14 about the pivot point 6.
[030] Referring now to FIG. 3, the platform 10 further includes a toothed range of motion (ADM) wheel 28. Two helical gears 30, 32, which communicate with each other and move with respect to a perimeter of the ADM wheel 28, provide stopping range of motion. movement (or constrains) for the platform 10. Therefore, the range of central motion of one support (e.g., first support 12) relative to another support (e.g., second support 14) is limited by a relative position of each helical gear 30, 32, acting as a stop support, on the perimeter of the axial rotation of each helical gear 30, 32 of the ADM wheel 28., respectively indexes (translates) the respective worm gear around the perimeter of the stationary ADM wheel 28. .
[031] FIGs. 4-6 illustrate a power unit 100 of the present invention, connected to a platform 10 of the present invention, whereby the power unit 100 provides bending or extension torque upon respective angular movement of the brackets 12, 14. FIG. 6 illustrates an exploded view. The power unit 100 can be turned on the platform 10 to change torque from extension to flexion, or vice versa, in a respective direction.
[032] The feed unit 100 includes a torsion spring 102 (e.g., a circular leaf spring) and an internally threaded receiving slot 104, open to, and centrally located on, each of the opposite sides of the feed unit 100 (i.e., open to, and located centrally within, each of the opposing housing side plates 106, 108). The respective receiving groove 104 communicates with a first end 110 of the torsion spring 102.
[033] Feeding unit 100 attaches thread to platform 10 through slot 18 and receiving slot 104 open in a first side housing plate 108 of feeder unit 100 (as shown in Fig. 4 and 5) to apply a critical relative opposing polarizing force of movement between the first and second supports 12, 14 in a first of two opposite directions and assist such rotational movement in a second of the opposite directions. Facilitating bias force is a second attachment of the feed unit 100 to the platform 10, which occurs between the guide 26 and the guide opening 112. Receiving a separator receiving opening 112 is also located on each side. opposite sides of the power unit 100 (i.e., on each housing side plate 106, 108).
[034] In one embodiment, the spacer 26 includes a shelf, or 90 degree rim (as best seen in Fig. 2b), creating a locking mechanism. The guide opening 112 includes, on an outer edge (near the top) thereof, a movable (sliding) door 111 adapted to slide over the guide opening of the separator 112 and tongue (latch) for the rim or shelf of the guide 26 Sliding door 111 is operable from, and communicates with, an inclined spring, slidably translatable to sliding bar 113, which extends from a central zone of power unit 100. 113 away from the center of the power supply unit 100 fully opens the guide receiving opening 112 to receive the 90 degree angled flap 26. Releasing the slide bar, through the closing bias spring, the door can slide back towards the center of the feed unit 100 to lock the guide portion 26 of the separator.
[035] Thereafter, the supply unit 100 can be separated from the platform 10, by means of the slide bar 113, inverted and relocated to the platform 10, again through the slot 18 and the receiving slot 104 open on one side second housing plate 106 of the supply unit 100, and by means of the guide 26, the receiving opening flap 112 and the slide bar 113. The supply unit 100 will then apply a polarizing force opposite to the relative pivoting movement between the first and second supports 12, 14 in a second of the two opposite directions and will assist such pivoting movement in a first of the opposite directions.
[036] Referring now to FIG. 6, supply unit 100 further includes an externally threaded spring band 114 located about a perimeter of torsion spring 102. Spring band 114 is securely attached (e.g., connector pin and socket 116) to a second end 118 of torsion spring 102. In addition, a stationary but axially rotatable worm gear 120 is located on a perimeter of spring band 114. Worm gear 120 threadedly communicates with the spring band 114 to preload torsion spring 102. In one embodiment, torsion spring 102, spring band 114, and worm gear 120 are positioned in the same plane (e.g., positioned in a similar plane, perpendicular to a longitudinal axis of the receiving groove 104 (and thus the groove 18 when the assembly is in operation)).
[037] In one embodiment of the invention, the platform 10 of the torsion spring 102 provides a 150 degree range of motion of the supports 12, 14. The torsion spring 102 operates over 402 degrees. The externally threaded spring band 114 includes wires for more than a portion of the outer perimeter. Through operation of gear 120, spring band 114 provides torsion spring preloaded over seven (7) of the configurations in 36 degree increments, for a total of 252 degrees. This 252 degree preload capability, in addition to the 150 degree operable range of movement, covers the 402 degree range of torsion spring 102 for this particular embodiment. Various variations and permutations are possible.
[038] FIGs. 7a, 7b and 7c illustrate a front view, a side view and an exploded view, respectively, of another embodiment of the platform of the present invention (i.e., the platform 10 shown in FIG. 1). Most of the detailed description of the component parts and features of FIG. 7 platform embodiment is similar to the platform embodiment of FIGs. 2a, 2b and 3. Note that the proximal and distal brackets are shown in a cropped format (actual length may vary due to patient needs). Table 1 provides a convenient list/explanation of the components in Figure 7a, 7b and 7c of the platform 10 embodiment of the present invention.


[039] FIGs. 8a, 8b, 8c, 8d and 8e illustrate from a perspective, a top, an edge, an opposite side, and an exploded view, respectively, of another embodiment of the power supply unit 100 of the present invention (i.e., the power supply unit 100 shown in Figure 1). Table 2 provides a convenient list/explanation of the components of Figure 8a, 8b, 8c, 8d and 8e embodiment of the power supply unit 100 of the present invention. In Table 2, and in Figs. 8a, 8b, 8c, 8d and 8e, SH means clockwise and SAH means counterclockwise.
USING EMBODIMENTS OF THE PRESENT INVENTION
[040] Braces/orthopedic appliances embodying embodiments of the present invention are intended for therapeutic use to control loss of motion associated with various neurological and orthopedic indications for adults and pediatrics. Neurological indications include cerebral palsy, stroke, spina bifida, traumatic brain injury, brachial plexus injury, spinal cord injury, multiple sclerosis, and reflex sympathetic dystrophy. Orthopedic indications include ligament ruptures, tendon rupture/repair, foot toe, burns, limb loss, rheumatoid arthritis, severe fractures/trauma, arthrogryposis, muscular dystrophy, and total knee replacement. Contraindications include fixed deformities.
[041] Two main components of the present invention are the orthopedic joint (platform) and the auxiliary adjustment unit (power unit). When incorporated into an orthosis, the platform functions as an orthopedic hinge or in conjunction with motion features for static control. The power unit mounts to the platform and provides continuous tension to a limb to restore range of motion in the affected joint.
[042] FIGs. 9a and 9b illustrate a front profile, a side profile and an inverse profile of the platform 10 in the embodiment of Figs. 7a, 7b, 7c e.g. FIG. 10 illustrates a front profile and a reverse profile of the power supply unit 100 of the embodiment of Figs. 8a, 8b, 8c, 8d and 8e. When using embodiments of the present invention, Figs. 9A, 9B and 10 show that the following platform and power supply components can be at least variously supplied: • Frame 12: contoured vertical bar aluminum and secured to an orthopedic proximal shell for the anatomical joint; • Lock 38: blue colored handle used to lock the platform 10; • Feed Unit Latch 26: spring-loaded latch that inserts into a latch receiver 112 of the 10,100 feed unit, which serves to maintain the engagement between the platform 10 and the power unit 100;• Groove 18: central location of splined shaft that fits with grooved receiver (receiver opening) 104 of power unit 100;• Range of motion (ROM) of wheel or gear 28: circular spline gear whose position can be adjusted to change range of extension or range of flexion of movement limits; • Stop angle marker 52: one of two red colored reference marks located on the ADM wheel, used to measure the angle at which the ADM wheel 28 stops within a given range of motion of the platform 10;• Gear 30: a gear which, when turned, will change the position of the ADM wheel 28 angle marker 52 to set a stop range for the platform 10; • Distal frame 14: contoured vertical bar aluminum and secured to an orthopedic distal shell for the anatomical joint; • Power unit release button 53: allows the unit to feed 100 to be extracted from platform 10 when pressed (linearly translated) in an upward direction; • Retainer Platform 35: pivot point 16 and central lock for platform 10; it is also used with the tool (template), involved in it, in order to facilitate the correct alignment of the orthopedic joints to each other;• End-of-stroke threaded holes 54: four end-of-stroke threaded holes of the end 54 (a, b, c, d) are provided (as shown in figure 9b). In an inverted profile of platform 10. Each threaded hole end 54A, 54B, 54C, 54D is designed to receive a 55 end range screw to configure platform 10 with a normal anatomical range of the respective joint - intended to treat and to ensure proper functioning of the power supply unit 100. End screw 55 extends from the threaded holes at the respective end 54 into an arcuate groove 56 in a member becoming the distal bracket 14. One or two threaded screws of End(s) 55 are generally used (eg in holes A and B; in hole C only, in hole D only). With reference to FIG. 9b, two threaded limit screws 55 (one in each of holes A and B) are shipped pre-installed from the factory. Threaded stop screws 55 A and B are recommended for ankle or wrist applications. A 55 threaded stop screw in hole C is recommended for right knee or left elbow applications. A 55 threaded limit screw in hole D (see figure 12e.) is recommended for left knee or right elbow applications; Tongue Receiver 112: One through feature (wall-thick opening) situated on a proximal aspect of power unit 100 - designed to interface with power unit tongue 26.
[043] Voltage level indicator 124: indicates through the housing window a current voltage setting of the voltage settings of the power supply unit 100. They can vary between a minimum of 0 and a maximum of 7, in increments of 0.5 . An initial factory configuration may be 1. Grooved receiver (receiver opening) 104: groove feature (internal thread) that engages groove 18 of platform 10; 126 Direction Assist Indicator: Marks on the power unit housing (clockwise or counterclockwise), indicating a direction of assistance generated by the power unit of 100; and voltage adjuster 128: mechanism used to increase/decrease the voltage generated by power supply 100.
[044] Lock and unlock platform 10 (see Fig. 9a). The lock identifier 38 is used to immobilize or "lock" the platform 10, primarily for putting on and taking off the orthosis with the 100 feed unit attached and tensioned. In FIG. 9a, platform 10 is shown without power unit 100 to better illustrate the mechanics of the locking mechanism. To use lock 38, follow these steps: • To lock, press lock 38 down, linearly translating lock 38 along a longitudinal axis of proximal bracket 12, to a toothed locking slide 22 (attached to a distal end of latch 38) is fully engaged with the perimeter edge of ADM sprocket 28 (as shown in FIG 9a); and • to unlock, pull the latch outward and upward (proximal), linearly translating the latch 38 along the longitudinal axis of the proximal support 12 away from the ADM wheel 28, until the toothed latch slide 22 is fully disengaged from the toothed perimeter of the ADM wheel 28 (as shown in Fig. 11 a).
[045] An audible "click" will be heard when lock 38 is successfully locked or unlocked. In certain embodiments of the present invention, the platform 10 can be provided with a 150° range of proximal motion and distal supports 12, 14. As detailed above, and with reference to FIG. 9b, the initial configuration for a left knee or right elbow may allow movement from 135° of flexion to 15° of hyperextension with a threaded limit screw 55 inserted into the threaded end hole 54D (see also Fig. 12-E). The initial configuration for a right knee or left elbow may allow movement from 135° of flexion to 15° of hyperextension with a threaded stop screw 55 inserted into the threaded end hole 54C. For wrist or ankle applications, initial configuration having threaded stop screws 55 inserted into each of threaded end holes 54A and 54B allowing movement from 75° of plantar (palmar) flexion to 75° of dorsiflexion. 55 limit screws provide correct anatomical range for the joint to be treated.
[046] In one embodiment, the base body of the cassette module can advantageously be improved, so that fluid channels on a first side of the base body inlet form and outlet lines for fluid streams and to the pump rotor receiving unit. In this case, the base body has continuous passages through which the circulating fluid can be transferred from a first side on which the fluid channels are arranged to a second side on which the pump unit with the centrifugal pump means is arranged. located. A first passage port is advantageously arranged so that the influent fluid reaches the rotor in the axial direction. A second passage port is arranged so that the fluid that emerges tangentially in the receiving unit of the centrifugal pump is directed towards the first side.
[047] FIG 11a, 11b and 11c illustrate how the platform 10 can be further improved to block excessive or unwanted bending or extension, allowing for infinite positioning options between the limits set by the screw end(s) 55 range inserted into the end range threaded hole(s) 54 (A, B, C, D) and engaging the arcuate slot 56. The ADM 28 wheel includes two red colored stop angle marks (MAPs), 52 inside the teeth of the ADM 28 wheel The stop angle marks 52 are most clearly visible from a side view of the platform (see Fig. 9a). One MAP 52 corresponds to the limitation of the extension range and the other MPA 52 to the limitation of the flexion range. The key to success with fine tuning the platform range of motion lies in understanding the relationship between the MAP 52 and the proximal support 12. Specifically, the platform movement will stop at an angle where the MAP 52 crosses the midline of the proximal support 12. Note that the tuning platform 10 is provided to limit the range of motion in either the flexion or extension direction - you cannot limit both directions simultaneously. Therefore, only a 52 SAM has a meaning to platform range of motion. The illustrations in FIG 11-A, 11b and 11c show the setup with the power unit of 100 separated from the platform 10 (just to better illustrate the mechanics involved). However, the range of the motion platform can be improved with or without the power unit 100 attached.
[048] To adjust the range of motion: • unlock platform 10 (as explained above); • the factory home position of platform 10 is shown in FIG. 11 a. Note the position of the proximal and distal structures 12, 14 in a 180° relationship, and the red stop angle marks (MAPS), 52 at the 5 and 7 o'clock positions. In the factory home position (at 5 and 7 o'clock;., As shown in figure 11a), the ADM wheel 28 does not influence the range of motion of the platform 10; • the ADM position of the wheel 28 is adjusted by turning the gear 30 with a ball conductor 200 (see FIG. 11a and 11c). Gear 30 can be rotated in any direction; e• From the factory home position, depending on which direction gear 30 is turned, one of the MAPs 52 will move closer to the proximal structure 12 compared to the other MAP 52. The "closer" MAP 52 represents the stopping point. The platform 10 will not be movable (rotating) past the region where the SAM 52 intersects the midline and the proximal structure 12 - free range of motion will be available in another direction. FIG 11b and 11c illustrate two possible configurations of the ADM wheel 28. In FIG. 11b, the range of motion of the proximal frame 12 relative to the distal strut 14 is limited to about 35° in the indicated direction (arrow). In FIG. 11c, the range of motion of proximal strut 12 relative to distal strut 14 is limited to about 90° in the direction (arrow) indicated.
[049] Figures 12a, 12b, 12c, 12d and 12e illustrate how to configure platform 10 and attach power unit 100 to platform 10 for certain auxiliary flexion/extension: • Set ADM wheel 28 to its factory home position (as detailed above); • move the distal support 14 from the platform 14 to the maximum range of extremity for the direction to be assisted; for example, to aid ankle dorsiflexion, move the distal support 14 to its maximum dorsiflexion position ( + 75° of dorsal flexion). If the platform 10 is not moved to the maximum range of the steering end to be assisted, internal stops of the power unit 100 will limit the range of motion of the platform 10 - thus decreasing the output of the power assistance unit 100; • lock platform 10 in the maximum term range position of the steering to be assisted. FIG. 12a shows the platform 10 oriented towards extension of the auxiliary right elbow (extension and/or auxiliary left knee). As shown in FIG. 12a, end range maximum extension of an elbow 20 configuration is 15° hyperextension; • orienting power unit 100 to assist direction indicator 126 (on the upside, away from the platform over the link) shows the direction (direction clockwise or counterclockwise) of the movement you want to watch. FIG. 12b shows the power unit 100 oriented to aid extension of the right elbow (extension and/or left knee); • aligning the groove 18 and the power unit tongue 26 of the platform 10 with the receptive groove (receiving groove) 104 and latch receiver 112 the power unit, as illustrated in FIG. 12c. Press power unit 100 onto platform 10. You should hear power unit 100 lock "click" into place upon successful latching power unit 100;• FIG. 12d shows a power unit successfully connected to the platform 10 100 from a top profile 30 seen; FIG. 12e shows the same unit, attached power 100 to platform 10 from a rear side seen in profile (also showing one end band screw 55 inserted into an end-tapped hole 54 (hole specifically, end-tapped 54D - see also figure 9b) and extending it into the arcuate groove 56.); and • unlock platform 10 and test assembly ensuring correct elbow or kneecap mounting range 35 (as detailed above), platform 10 must have range of motion from 135° of flexion to 15° of hyperextension - ensure that resistance is felt in the right direction.
[050] To remove power unit 100 from platform 10: • move handle lock 38 from platform 10 to the unlocked position (as detailed above 40); • to remove power unit 100 from platform 10 10, the platform 10 must again be at the end of the power steering range. Using latch 38, lock platform 10 in this position; and • pressing the power supply unit release button 53 upwards (proximally, linearly away from the pivot point - see figure 9b.). While holding the feed unit release button 53 up (against spring pressure), lift the feed unit 100 off the platform 10.
[051] Auxiliary direction of power supply unit 100 can be reversed to assist in the opposite direction. For example, a power unit 100 oriented on a platform 10 for auxiliary knee extension can be reversed for auxiliary knee flexion; a power supply unit 100 oriented on a platform 10 for auxiliary wrist extension may be reversed for auxiliary flexion wrist, etc. To reverse the auxiliary direction of the power unit 100 onto the platform 10 (for example, here, the configuration of the power unit 100 to aid right elbow flexion: • remove the power unit 100 and set the ADM wheel 28 to the its factory starting position (as detailed above); • move distal support 14 to maximum range of flexion (for a right elbow or left knee - 135°); • lock platform 10 in this position (using wrist lock 38) ;• orient the power supply unit 100 so that the direction indicator assist 126 on the side facing up (i.e. away from the platform 10 on top of the attachment) shows (in dots) the direction (clockwise or anti-clockwise). clockwise) you want to help (here, counterclockwise for right elbow or left knee flexion force); and• attach power unit 100 to platform 10. To adjust power supply voltage 100:• unit power supply 100 can be adjusted for voltage between a minimum of 0 and a maximum level of 7. In its initial factory setting, the power supply unit 100 has voltage defined by level 1 (see figure 10 for the local voltage adjuster 138. - gear operation 120 );• power supply unit 100 can be adjusted for voltage inside or outside platform 10. Use ball conductor 200 to connect worm gear 120 (voltage located on adjuster 138) to increase/decrease drive voltage supply 100 (torsion spring 102). The tension of the adjuster 138 can be addressed (with the ball controller 200) from either side of the auger 120. Depending on which side of the feed unit 100 (specifically, the auger 120) chosen to make the adjustment, as well as the direction of the selected auxiliary, the tension adjuster 138 (gear 120) may require it to turn its direction or away from you (clockwise or counterclockwise) to increase (decrease) the voltage - watch voltage level indicator 124. • to decrease tension, simply turn tension adjuster 138 (gear 120) in the opposite direction.
[052] These and other advantages of the present invention will be apparent to those skilled in the art from the foregoing description. Accordingly, it will be recognized by those skilled in the art that changes or modifications may be made to the above-described embodiments without departing from the general inventive concepts of the invention. For example, detailed features as included in certain specific embodiments above are recognized as interchangeable and possibly included in other detailed configurations. Specific dimensions of any particular embodiment are described for illustrative purposes only. Therefore, it is to be understood that this invention is not limited to the particular embodiments described herein, but is intended to include all changes and modifications that are within the scope and spirit of the invention.
权利要求:
Claims (20)
[0001]
1. Articulated splint device for applying force through an articulating body, CHARACTERIZED in that it comprises: a platform, including: a first support and a second support; and a hinge assembly having a threaded groove at a pivot point thereof, the threaded groove feasibly secured to one of the first or second brackets, the other of the first bracket or the second bracket having a tongue situated radially from the pivot point, the first bracket and the second bracket pivoting relative to each other about the pivot point; and a power supply unit, including: a torsion spring; and a housing having an internally threaded receiving groove centrally located on each of the opposite sides of the feed unit housing, the receiving groove viably connected to a first end of the torsion spring, the housing further having a pawl receiver similar located on each opposite side of the feed unit housing, the pawl receiver viably connected to a second end of the torsion spring; wherein, with a first side of the housing exposed away from and opposite the platform, the unit feeder connects to the platform to apply an opposite polarizing force to the relative pivoting movement between the first and second supports in a first of two opposite directions and assisting the pivoting movement in a second of the opposite directions; and wherein, with a second side of the housing exposed away from and opposite the platform, the power unit attaches to the platform to apply a polarizing force opposite to the relative pivot movement between the first and second supports in the second of opposite directions, and assisting joint movement in the first of opposite directions.
[0002]
2. Device according to claim 1, CHARACTERIZED in that the power supply unit is separated, inverted and replaced with the platform, without the use of tools, from the first side of the housing being exposed away from and opposite to the platform for the second side of the housing to be exposed away from and opposite the platform.
[0003]
3. Device according to claim 1, CHARACTERIZED in that the attachment points between the power supply unit and the platform consist only of a receiving groove located centrally on each side of the power unit housing, to a groove of the platform, o a similar pawl receiver axially located on each side of the feed unit housing, and to a pawl of the platform located radially from the pivot point.
[0004]
4. Device, according to claim 1, CHARACTERIZED in that the platform further comprises an axially translatable handle that engages in a gear centered by the teeth around the pivot point to arrest the articulation movement of the first support in relation to the second support.
[0005]
5. Device, according to claim 1, CHARACTERIZED in that the power supply unit further comprises: an externally threaded spring band located around a perimeter of the torsion spring, centered around the pivot point, and viably connected to the second end of the torsion spring; and an axially rotating but otherwise fixed preload worm gear within the power unit housing, located around a perimeter of the spring band, the preload worm gear threadedly communicating with the spring band to preload the torsion spring.
[0006]
6. Device, according to claim 5, CHARACTERIZED by the fact that the torsion spring, the spring band and the worm gear are positioned in the same plane, the same plane being perpendicular to a longitudinal axis of the groove and the receiving slot.
[0007]
7. Device, according to claim 1, CHARACTERIZED by the fact that the torsion spring is a circular leaf spring.
[0008]
8. Device, according to claim 1, CHARACTERIZED by the fact that the tongue extends perpendicularly from the respective support, and includes at its distal end a flange that extends perpendicularly in the direction of the point of articulation, the tongue being spring-loaded to the pivot point and linearly translatable along a longitudinal axis of the respective bracket, wherein the tongue receiver is a similarly shaped and oppositely located opening on either side of the power unit housing, and wherein the spring loaded tongue causes lip pressure snapping to opening when power unit is attached to platform.
[0009]
9. Device, according to claim 8, CHARACTERIZED in that the platform further comprises an axially translatable handle that engages in a gear centered by the teeth around the pivot point to arrest the articulation movement of the first support in relation to the second support, and wherein the tongue extends perpendicularly from the respective support from within, and is surrounded by, the axially translatable handle.
[0010]
10. Device, according to claim 1, CHARACTERIZED by the fact that the platform further comprises: a toothed range of motion (ADM) wheel mounted on the pivot point and which can rotate in relation to the first and second supports; an axially rotatable but otherwise fixed within an ADM worm housing, an ADM worm gear located on a perimeter of the ADM wheel, the ADM worm gear threadedly communicating with the ADM wheel to adjust a range of motion of the first support relative to the second support.
[0011]
11. Device, according to claim 1, CHARACTERIZED in that the joint assembly further comprises: at least one threaded hole of final amplitude rotatably fixed in relation to one of the first and second supports; at least one screw of end span, inserted into and extending from the at least one end span threaded hole; and an arcuate slot rotatably fixed with respect to the other of the first and second supports, the at least one end-range screw extending into the arcuate slot to limit the range of motion of the device; and wherein the platform provides a 150° range of movement of the first and second supports.
[0012]
12. Device according to claim 11, CHARACTERIZED by the fact that a position of the at least one end-range threaded hole, with the at least one end-range screw inserted therein, allows the movement of the at least one end-range screw final range within the arcuate groove 135° from flexion to 15° of hyperextension, thus providing correct anatomical range of motion for a knee.
[0013]
13. Device, according to claim 11, CHARACTERIZED by the fact that it also comprises a second threaded hole of final amplitude, each one having a position, where, with screws of final amplitude inserted in it, it allows the movement of the screws of amplitude end inside the arcuate groove from 75° of plantar flexion to 75° of dorsiflexion, thus providing an anatomically correct range of motion for a wrist or ankle.
[0014]
14. Device, according to claim 11, CHARACTERIZED by the fact that the joint assembly further comprises: a toothed range of motion (ADM) wheel mounted on the pivot point and which can rotate in relation to the first and second supports; an ADM worm gear, axially rotating but otherwise fixed within an ADM worm housing, located on a perimeter of the ADM wheel, the ADM worm gear threadedly communicating with the ADM wheel to adjust a range of motion of the first support relative to the second support within fixed limits set by the at least one end-range threaded hole, the at least one end-range screw, and the arcuate groove.
[0015]
15. Device, according to claim 14, CHARACTERIZED by the fact that the ADM wheel includes at least two stops angle marks on a perimeter thereof, a mark that corresponds to a limit of extension amplitude and any other mark that corresponds to a bending range limit, where the ADM worm gear is used to rotatably position one of the stop angle marks at an angle to the midline of the first bracket to precisely adjust the range of motion of the device, where the angular movement of the platform is limited to the angle in a respective range of flexion or extension.
[0016]
16. Device according to claim 15, CHARACTERIZED by the fact that the ADM worm gear functions to finely adjust the range of motion of the device with the power unit attached to the platform.
[0017]
17. A method of reversing the angular direction of force applied by a joint assembly to an orthopedic, prosthetic or rehabilitation device, wherein the joint assembly comprises: a platform including: a first support and a second support; and a hinge assembly having a threaded groove at a pivot point thereof, the threaded groove viably secured to one of the first support or the second support, the other of the first support or the second support having a spring-loaded tongue situated radially from the point pivot, the first support and the second support rotating relative to each other about the pivot point; and a feed unit connected to the platform, the feed unit including: a torsion spring; and a housing having an internally threaded receiving groove centrally located on each of the opposite housing sides of the power unit, the receiving groove viably connected to a first end of the torsion spring, the housing further having a pawl receiver similar located on each of the opposite sides of the housing of the power supply unit, the pawl receiver viably connected to a second end of the torsion spring; the method CHARACTERIZED in that it comprises the steps of: linearly translating the pawl along a longitudinal axis of the other of the first or second bracket, away from the pivot point and in opposition to the force of the pawl spring; pull the feed unit in a direction perpendicular to the first and second brackets, lift the feed unit out of the groove , remove the feed unit from the platform; turn the feed unit over; threaded the slot receiving the housing with the groove while aligning the tongue receiver of the housing with the tongue, without the use of tools, and without the need to use any other connection point or between any of the platform or the power unit; pressing the feed unit against the platform until the spring-loaded pawl causes the pawl to snap into the pawl receiver, thereby connecting the feed unit to the platform to apply a polarizing force opposite to the relative pivot movement between the pawl. first and second supports, in a direction opposite to the force applied before turning the power unit, and assisting rotational movement in a direction opposite to that provided before turning the power unit.
[0018]
18. Joint assembly for an orthopedic, prosthetic or rehabilitation device, CHARACTERIZED in that it comprises: a first support and a second support pivotally connected to each other at a point of articulation; a groove that extends in a first direction, perpendicularly through of the first support and the second support and serving as the pivot point, the groove being rotatably fixed with respect to one of the first support and the second support; and a torsion spring having a first end and a second end; wherein the other between the first support and the second support has a single pawl extending in the first direction, located radially from the pivot point; wherein the first end of the torsion spring is removably attached to the extending groove and the second end of the torsion spring is detachably attached to the single extending pawl, the torsion spring applying a polarizing force opposite to the relative pivoting motion between the first and second supports in a first of two opposite directions, and assisting rotational movement in a second of opposite directions; wherein the torsion spring is separated from the extending groove and the single extending pawl, the torsion spring turned over, and the first end of the torsion spring is again releasably connected to the extending groove and the second end of the spring of torsion is again removably attached to the single extending pawl to then apply an opposite polarizing force to the relative pivoting movement between the first and second supports in a second of two opposite directions, and assisting such rotational movement in a first of opposite directions.
[0019]
19. Set, according to claim 18, CHARACTERIZED by the fact that the torsion spring is a circular leaf spring.
[0020]
20. Assembly, according to claim 18, CHARACTERIZED in that it further comprises: a toothed tension wheel mounted around the pivot point and rotatably fixed in relation to the groove, and an axially rotating worm gear, but of another secured manner, located around a perimeter of the tension wheel, the worm gear threadedly communicating with the tension wheel to preload the torsion spring.
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同族专利:
公开号 | 公开日
US10034790B2|2018-07-31|
WO2014169099A1|2014-10-16|
DK2983628T3|2019-03-25|
US20140308065A1|2014-10-16|
EP2983628A4|2017-01-11|
NZ713126A|2018-03-23|
AU2014250961B2|2018-05-10|
JP6444374B2|2018-12-26|
CN105283155B|2018-01-30|
HK1220347A1|2017-05-05|
US20180333286A1|2018-11-22|
BR112015025953A2|2020-05-05|
MX361630B|2018-12-13|
MX2015014241A|2016-06-02|
EP2983628A1|2016-02-17|
US20160374844A1|2016-12-29|
EP2983628B1|2018-11-28|
CA2909179C|2020-03-10|
CA2909179A1|2014-10-16|
JP2016514617A|2016-05-23|
US10596024B2|2020-03-24|
CN105283155A|2016-01-27|
US9377079B2|2016-06-28|
AU2014250961A1|2015-11-05|
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法律状态:
2018-11-13| B06F| Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]|
2020-06-02| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]|
2021-07-13| B350| Update of information on the portal [chapter 15.35 patent gazette]|
2021-10-13| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|
2021-10-19| B350| Update of information on the portal [chapter 15.35 patent gazette]|
2022-01-11| B16A| Patent or certificate of addition of invention granted [chapter 16.1 patent gazette]|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 10/04/2014, OBSERVADAS AS CONDICOES LEGAIS. |
优先权:
申请号 | 申请日 | 专利标题
US201361810412P| true| 2013-04-10|2013-04-10|
US61/810,412|2013-04-10|
PCT/US2014/033617|WO2014169099A1|2013-04-10|2014-04-10|A bi-directional dampening and assisting unit|
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