![]() Wiper device for people with deficit de marcha (Machine-translation by Google Translate, not legally
专利摘要:
Walking device for people with walking deficit. Intended to adapt physiological movements aimed at achieving standing and walking in those cases of patients in which the hip may be involved, the apparatus includes a chassis (1) on which are articulated arms (3) for rear wheels (5) and (9) for previous medas (11), this being adjustable in length, and including a pillar (7) with supports (14) for the trunk and plates (13) for pelvic support, being adjustable both in height and in separation, going articulated to the plates (13) are tweezers (16) adjustable in height for the hips, knees and ankles, including in the lower part flexible cups (17) adaptable to any footwear of the patient. (Machine-translation by Google Translate, not legally binding) 公开号:ES2609248A1 申请号:ES201531465 申请日:2015-10-13 公开日:2017-04-19 发明作者:Francisco OCTAVIO MATA;Sara FERNANDEZ ESTUÑIGA 申请人:Shanae Servicios Geriatricos S L U;Shanae Servicios Geriatricos SLU; IPC主号:
专利说明:
WALKING DEVICE FOR PERSONS WITH DEFICIT OF MARCH DESCRIPTION 5 OBJECT OF THE INVENTION The present invention relates to a walking apparatus for people with gait deficit, based on the biomechanics of the human being to adopt physiological movements aimed at achieving standing and gait in those cases in which the hip may be compromised, as well as in which there is activation muscle deficit for bipedal lift or on the fly or in involuntary movements. The object of the invention is to provide the sector, specifically to people with cerebral palsy, an apparatus that provides greater mobility to the body segments, in a controlled manner and the therapist or caregivers being able to regulate the levels of blockage and resistance of the different elements . BACKGROUND OF THE INVENTION 20 There are walking devices for people with cerebral palsy or with deficit in the lower extremities, which prevent their gait, based on a structure or chassis adjustable in length and with support and rolling means to allow displacement, a device that incorporates suspension means related to the axle of the rear wheels, as well as a telescopic strut corresponding to the frame itself, between which and 25 the rear axle itself are provided the referred damping or suspension means, said telescopic strut being provided superiorly to means for linking support elements for the user's trunk and supporting elements for the user's own pelvis, in order to maintain his position upright. 30 In addition, there are two telescopic bars topped with support elements for the feet, whose telescopic bars have sections articulated together to establish the joints of the ankles, knees and hips, all with the power to adjust in length to enable adaptation to any user, that is, at any user height. In the previous part there is another axle with front wheels for sliding of the walker itself. In this regard, the invention patent P201232058 can be cited, referring to a walker indicated for children with cerebral palsy, whose structural characteristics are the aforementioned, also including elastic elements to facilitate the 10 actions of moving alternately one foot and another in the walk of the patient or user. The device described in that Spanish invention patent P201232058, suffers from a series of problems and disadvantages such as lack of joint movements in relation to the hip and pelvis, as well as a lack of oscillation that allows the body and especially the center of gravity located in the center of the pelvis, can swing to one side and another during support. Another limitation presented by the walking device described in said invention patent, 20 is that the operation is carried out from the back, by means of a bar or rear arm operable or controllable by the patient's companion, which logically avoids that just in case to address the walker. Another limitation is that the axle or bar corresponding to the front wheels is straight, which limits the turns and maneuverability of the walker's own chassis or structure during the ride. DESCRIPTION OF THE INVENTION 30 The recommended walking apparatus, based precisely on the structural and functional characteristics described in the previous section, ie corresponding to the Spanish invention patent P 201232058, presents a series of particularities and innovations from which substantial functional and efficiency improvements in the walker are derived. More specifically, starting from a structure with a chassis, a pair of 5 rear wheels and a pair of front wheels, as well as a steering wheel and a vertical pillar or column, with tutors for the hips, knees and ankles, adjustable in height and supports for the patient's own trunk and pelvis, includes as one of the novelty features the fact that the suspension element between the pillar and the arm that joins the rear wheels with the chassis, is materialized in a cylinder, and the Rear wheels 10 themselves include brake means adapted to stop the gear when necessary, allowing to perform standing work with the braked wheels and the foot rest stabilized on the ground. As for the inner wheels, they are related to a 15-way steel-based chain and crosshead system that confers great strength and safety, the steering wheel being regulated by a piece that allows straight direction only or direction free, being also that steering wheel regulated in height and with the possibility of tilt adjustment by means of quick release tabs. 20 As for tutors adjustable in height, say that such regulation can be done whenever necessary without the need for complex tools, allowing a custom configuration by the manufacturer. To the chassis is associated an arm that with a bridge is a carrier of the rear wheels, 25 and between whose arm and the pillar the damping cylinder is arranged, while from the chassis a front arm bearing the front wheels emerges, with the power to regulate in length and thus adapt to the needs of each circumstance or patient. On the other hand, it should be noted that at the lower end of the tutors about 30 flexible cups have been provided to which any type of footwear can be adapted, so that with a simple velcro joint different footwear can be combined quickly, allowing Flexion to facilitate the passage. Another innovation presented by the apparatus of the invention is that a regulation of hip abduction can be carried out, that is to say that it is possible to regulate the opening of the legs in order to preserve the stability of the hips in children who have problems in that segment, so that regulation can be established up to 5 to achieve an opening of 25º, contrary to what happens with known devices whose maximum opening is 8º. Another feature of novelty is that between the chassis and the front arm that can be adjusted in length, a free-moving ball joint is provided that allows a small turn on one side and the other, resembling the physiological gait, which movement can be blocked to allow a New start with greater control that increases over time. Another notable innovation is that by means of tension screws it is possible to provide a certain pelvic rotation during the march, in a controllable way, the regulation of which can be carried out until a blockage is achieved in case of needing an absolute control of that movement. Also of note is the fact that the trunk and pelvis support elements can be independently adjusted in height and lean in the coronal plane, achieving asymmetric control, that is to say, placing one side higher than the other in order to solve inclined postures. or scoliotic, allowing to make a global asymmetric treatment of the patient, with the advantages that it can bring so that in a quick and simple way it can be retrofitted to the new situations that occur. 25 In the same way, means are provided that allow the pelvis support elements to be adjusted in width, to give more or less support to the user or patient and to allow a personalized adjustment or regulation to provide greater coronal control in the movement of a pelvis unstable. 30 It should also be said that the support elements of the trunk and pelvis can be adjusted in depth, that is, in the anteroposterior position, allowing greater control over the two zones and make a more efficient activation stimulation, by forcing one segment to work more than the other. Finally, to say that between the support elements of the pelvis and the tutors for the hip, knees and ankles, a special joint is established that allows the hips 5 to be oriented while walking, providing external or internal rotation to said hip to ensure safety of this in those cases in which it presents femoral torsion or other affectations that require that location. Finally, it is possible to say that the device is able to lift the support of the cups on the floor, removing pressure on the patient and that the patient can perform the steps by exerting less force, thereby facilitating the passage and gait, so that the point can be raised of patient support to achieve a reduction, all in a simple way and with a simple manually operated screw. 15 DESCRIPTION OF THE DRAWINGS To complement the description that is going to be made below and in order to help a better understanding of the features of the invention, according to a preferred example 20 of practical realization thereof, it is accompanied as an integral part of said description, a single sheet of planes where the following is shown as illustrative and not limiting: The unique figure shown on the sheet of plans corresponds to a perspective view of a walking device made in accordance with the object of the invention, with all the improvements and innovations that it includes. PREFERRED EMBODIMENT OF THE INVENTION 30 As can be seen in the aforementioned figure, the walking device of the invention is constituted from a chassis (1), which on its back articulates, according to reference (2), a arm (3) carrying a bridge (4) in which rear wheels (5) with brake elements (6) are provided, a pillar (7) emerging from the frame (1), so that between it and the proper arm (3) a cylinder (8) is located as a damping element of the apparatus. 5 An arm (9) carrying a front support (10) with a pair of wheels (11) is projected from the front of the chassis (1), and from which support (10) a maneuverability bar (13) emerges. A pair of plates (13) and supports (14) for the pelvis and trunk 10 are associated to the pillar (7), so that through a joint (15) the plates (13) are related to tutors (16). ) adjustable in height or length and carriers at its lower end of cups (17) that are flexible and have means to allow the support and adaptation of any patient footwear. 15 Said abutment also establishes means for regulating the abduction of the hip by means of respective controls (18), which allow a degree of opening for the legs of 25º, being able to be fixed at different heights of respective vertical guides (19) in which top off the pillar (7). The features and possibilities provided by the apparatus of the invention can be summarized in the following: In relation to the rear wheels (5), they are oriented towards the forward line, and its brake (6) intended to stop the March when necessary, allowing for standing work with braked rear wheels and feet stabilized on the ground. For its part, the addressing of the device is achieved based on a chain system and steel crosshead that gives it great strength and safety, the steering wheel being regulated by a piece that allows straight direction only or free direction, so that this steering wheel is adjustable in height, and can also be adjusted in inclination by means of unlocking tabs. As for the tutors (16), they, as already mentioned above can be adjusted in height to adapt the location of the knee joint, as well as the length of the legs, as they grow, regulation that 5 can be done whenever necessary without the need for complex keys or custom settings. As for the flexible cups (17), it has already been said that they are designed to allow the adaptation of any type of footwear, comfortably and quickly, so that by means of a simple Velcro® connection, different footwear can be combined fast way, proving very practical for different users. As for the support elements (14) for the trunk and plates (13) for the pelvis, say that they include locking controls (8) for height adjustment of both the supports 15 (14) for the trunk and the plates (13) for the pelvis. Between the chassis (1) and the rear (3) and front (9) arms, an articulation (20) is provided formed by a free-moving ball joint that allows the assembly of the apparatus to swing to one side or the other and thus resemble to the physiological gait, being able to block that movement to be able to start again with a greater control that increases with time. The hip joint (15) can be adjusted in depth to thus adapt the device physiologically to the anatomy of the user or patient. 25 As for the suspension element formed by the cylinder (8), which is a hydraulic cylinder, it will have a tension that can be adjusted according to each person, so that said cylinder will give more or less hardness to the resistance of the pulsatile movement during the march in the sagittal plane of elevation and pressure. 30 In relation to the adjustment in length of the arm (9) between the chassis (1) and the front wheels (11), say that by means of a simple regulating screw it is possible to choose the length of the device as a whole, depending on the capacity of the patient's tread length, and also allowing said apparatus to be more stable in case the patient has an advanced center of gravity. As mentioned previously, the pelvic support plates (13) and support (14) of the trunk 5 can be adjusted in height, according to the vertical elements (19) and above, and whose regulation can be carried out in a way independent, even allowing to tilt also in the coronal plane, independently both elements to achieve asymmetric control of them. 10 There is also the possibility of regulating the pelvic width to give more or less support to the patient, recommending to adjust it in a personalized way to provide more coronal control the movement of an unstable pelvis. Likewise, both the trunk support (14) and the 15 pelvic support plates (13) can be adjusted in depth, allowing greater control in both areas and a more efficient activation stimulation, by forcing a segment to work more than the other. Finally, say that the hips can be oriented during the march, with a 20-rotation control that can be internal or external, guaranteeing the safety of a hip that has femoral torsion or other effects. 25 30
权利要求:
Claims (1) [1] CLAIMS 1.- Walking device for people with gait deficits, which comprises a chassis (1) that is related both posteriorly and anteriorly with two pairs of wheels (5-11) respectively, from whose chassis (1) a pillar (7) with support elements (14) for the trunk and support elements (13) for the patient's pelvis, also including a system of longitudinally adjustable tutors (16) for the hips, knees and ankles, presenting those tutors (16) in its lower part cups (17) to support the user's own footwear, characterized in that the rear wheels (5) are related to the chassis (1) through an arm (3) articulated to the chassis itself (1) While the front wheels (11) are related to said chassis (1) through an arm (9) adjustable in length; having provided that in said areas of articulation between the posterior arms (3) anterior (9) and the vertical pillar (7) itself there is included a ball joint with locking means capable of facilitating a tilting of the center of gravity of the device; having also provided that the upper part includes elements (19) related to the supports (14) for the trunk and support plates (13) for the pelvis, allowing those upper elements (19) to regulate in a controlled and independent manner said supports (14) and plates (13), respectively, further including means for regulating the inclination of the coronal plane of said supports (14) and plates (13). 20 2nd.- Walker device for people with gait deficit, according to claim 1, characterized in that the front wheels (11) are mounted on a piece or plate (10) in which the front end of the arm (9) adjustable in length is finished , having a steering wheel (12) in which the directional system is based on a chain system and steel spreaders 25, with a height adjustment means for said steering wheel (12) with the possibility of adjusting the inclination. 3.- Walking device for people with gait deficit, according to claim 1, characterized in that the cups (17) to support the user's own footwear are flexible in nature. 4.- Walking device for people with gait deficit, according to claim 1, characterized in that it includes means for regulating the opening of the legs, up to an angle of 25º. 5.- Walker apparatus for people with gait deficits, according to claim 1, characterized in that it includes adjustment screws to enable the pelvic support plates (13) to rotate during gait. 6.- Walking device for people with gait deficit, according to claim 1, characterized in that both the pelvic support plates (13) and the supports (14) for the trunk are adjustable in depth. 10 7.- Walking device for people with gait deficit, according to claim 1, characterized in that the pelvic support plates (13) have regulation means for their separation. fifteen
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同族专利:
公开号 | 公开日 ES2609248B1|2018-01-23|
引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题 GB2291362A|1994-07-20|1996-01-24|Benito Ferrati|Orthopaedic apparatus| FR2868293A1|2004-04-02|2005-10-07|Georges Jean Marie Franc Barbe|Paraplegic or tetraplegic rehabilitation device for spinal cord injured patient, has chest support permitting patient to adapt orthostatic position, and foam cushion supporting patient in seated position so that feet are placed on platforms| EP2233120A1|2009-03-26|2010-09-29|Thomas Ruepp|Walking aid| US20120074661A1|2010-09-29|2012-03-29|Alreh Medical Sp. Z.O.O|Pair of Runners for Walking and/or Travel Movement|EP3598961A1|2018-07-25|2020-01-29|Rami Haidar|Orthopaedic walking assistance device| FR3084252A1|2018-07-25|2020-01-31|Cree A Tech Sprl|orthopedic walking aid device for gait rehabilitation|
法律状态:
2016-04-06| PC2A| Transfer of patent|Owner name: SHANAE SERVICIOS GERIATRICOS, S.L.U. Effective date: 20160331 | 2018-01-23| FG2A| Definitive protection|Ref document number: 2609248 Country of ref document: ES Kind code of ref document: B1 Effective date: 20180123 | 2021-10-04| FD2A| Announcement of lapse in spain|Effective date: 20211004 |
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申请号 | 申请日 | 专利标题 ES201531465A|ES2609248B1|2015-10-13|2015-10-13|WALKING DEVICE FOR PEOPLE WITH MARCH DEFICIT|ES201531465A| ES2609248B1|2015-10-13|2015-10-13|WALKING DEVICE FOR PEOPLE WITH MARCH DEFICIT| 相关专利
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