WO2022018073A3 - Verfahren zur steuerung einer prothese oder orthese - Google Patents

Verfahren zur steuerung einer prothese oder orthese Download PDF

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Publication number
WO2022018073A3
WO2022018073A3 PCT/EP2021/070243 EP2021070243W WO2022018073A3 WO 2022018073 A3 WO2022018073 A3 WO 2022018073A3 EP 2021070243 W EP2021070243 W EP 2021070243W WO 2022018073 A3 WO2022018073 A3 WO 2022018073A3
Authority
WO
WIPO (PCT)
Prior art keywords
flexion
resistance
orthosis
prosthesis
axial force
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2021/070243
Other languages
English (en)
French (fr)
Other versions
WO2022018073A2 (de
Inventor
Martin Seyr
Thomas Hofmann
Dirk Seifert
Philipp Kampas
Dries GLORIEUX
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Otto Bock Healthcare Products GmbH
Original Assignee
Otto Bock Healthcare Products GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Otto Bock Healthcare Products GmbH filed Critical Otto Bock Healthcare Products GmbH
Priority to EP21754925.2A priority Critical patent/EP4181838A2/de
Priority to JP2022579661A priority patent/JP7844360B2/ja
Priority to CN202180060928.7A priority patent/CN116194064A/zh
Priority to US18/016,838 priority patent/US20230293320A1/en
Publication of WO2022018073A2 publication Critical patent/WO2022018073A2/de
Publication of WO2022018073A3 publication Critical patent/WO2022018073A3/de
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/68—Operating or control means
    • A61F2/70—Operating or control means electrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/68—Operating or control means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/60—Artificial legs or feet or parts thereof
    • A61F2/604—Joints for artificial legs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/60—Artificial legs or feet or parts thereof
    • A61F2/64—Knee joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
    • A61F5/0125—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees the device articulating around a single pivot-point
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2002/5016—Prostheses not implantable in the body adjustable
    • A61F2002/503—Prostheses not implantable in the body adjustable for adjusting elasticity, flexibility, spring rate or mechanical tension
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2002/5038—Hinged joint, e.g. with transverse axle restricting the movement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/68—Operating or control means
    • A61F2002/6818—Operating or control means for braking
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/76—Means for assembling, fitting or testing prostheses, e.g. for measuring or balancing, e.g. alignment means
    • A61F2002/7615—Measuring means
    • A61F2002/7625—Measuring means for measuring angular position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/76—Means for assembling, fitting or testing prostheses, e.g. for measuring or balancing, e.g. alignment means
    • A61F2002/7615—Measuring means
    • A61F2002/763—Measuring means for measuring spatial position, e.g. global positioning system [GPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50—Prostheses not implantable in the body
    • A61F2/76—Means for assembling, fitting or testing prostheses, e.g. for measuring or balancing, e.g. alignment means
    • A61F2002/7615—Measuring means
    • A61F2002/7635—Measuring means for measuring force, pressure or mechanical tension

Landscapes

  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Nursing (AREA)
  • Prostheses (AREA)

Abstract

Die Erfindung betrifft ein Verfahren zur Steuerung einer Prothese oder Orthese der unteren Extremität mit einem Oberteil (10) und einem mit dem Oberteil (10) über ein Kniegelenk (1) verbundenes Unterteil (20), das um eine Gelenkachse (15) relativ zu dem Oberteil (10) verschwenkbar gelagert ist, wobei zwischen dem Oberteil (10) und dem Unterteil (20) eine verstellbare Widerstandseinrichtung (40) angeordnet ist, über die auf der Grundlage von Sensordaten ein Flexionswiderstand (Rf) verändert wird, wobei eine auf das Unterteil wirkende Axialkraft (FA) von zumindest einem Sensor (54) erfasst und als Grundlage für eine Veränderung des Flexionswiderstandes (Rf) verwendet wird, wobei bei abnehmender Axialkraft (FA) und/oder annähend senk- rechter Lage einer Beinsehne (70) und/oder eines extendierten Kniegelenkes (1) der Flexionswiderstand (Rf) reduziert wird, wobei der Flexionswiderstand (Rf) wieder angehoben wird, wenn innerhalb eines zeitlich festgelegten Intervalls keine Knieflexion detektiert wird und/oder das Kniegelenk (1) und/oder die Beinsehne (70) und/oder die Axialkraft (FA) bestimmte Grenzwerte unterschreiten oder überschreiten.
PCT/EP2021/070243 2020-07-20 2021-07-20 Verfahren zur steuerung einer prothese oder orthese Ceased WO2022018073A2 (de)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP21754925.2A EP4181838A2 (de) 2020-07-20 2021-07-20 Verfahren zur steuerung einer prothese oder orthese
JP2022579661A JP7844360B2 (ja) 2020-07-20 2021-07-20 義肢又は装具の制御方法
CN202180060928.7A CN116194064A (zh) 2020-07-20 2021-07-20 用于控制假体或矫形器的方法
US18/016,838 US20230293320A1 (en) 2020-07-20 2021-07-20 Method for controlling a prosthesis or orthosis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102020004336.4 2020-07-20
DE102020004336.4A DE102020004336A1 (de) 2020-07-20 2020-07-20 Verfahren zur Steuerung einer Prothese oder Orthese

Publications (2)

Publication Number Publication Date
WO2022018073A2 WO2022018073A2 (de) 2022-01-27
WO2022018073A3 true WO2022018073A3 (de) 2022-03-10

Family

ID=77338633

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2021/070243 Ceased WO2022018073A2 (de) 2020-07-20 2021-07-20 Verfahren zur steuerung einer prothese oder orthese

Country Status (6)

Country Link
US (1) US20230293320A1 (de)
EP (1) EP4181838A2 (de)
JP (1) JP7844360B2 (de)
CN (1) CN116194064A (de)
DE (1) DE102020004336A1 (de)
WO (1) WO2022018073A2 (de)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12059383B2 (en) 2016-05-03 2024-08-13 Icarus Medical, LLC Assistive orthotic device with motors and sensors
DE102023118195A1 (de) * 2023-07-10 2025-01-16 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung einer orthopädietechnischen Gelenkeinrichtung

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180125681A1 (en) * 2015-04-24 2018-05-10 Otto Bock Healthcare Products Gmbh Method for controlling a change of damping in an artificial joint

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10307328A1 (de) * 2003-02-17 2004-09-02 Eska Implants Gmbh & Co. Beinprothese
DE102006021802A1 (de) * 2006-05-09 2007-11-15 Otto Bock Healthcare Ip Gmbh & Co. Kg Steuerung eines passiven Prothesenkniegelenkes mit verstellbarer Dämpfung
DE102007053389A1 (de) * 2007-11-07 2009-05-20 Otto Bock Healthcare Ip Gmbh & Co. Verfahren zur Steuerung eines orthopädischen Gelenkes
DE102008024747A1 (de) * 2008-05-20 2009-12-03 Otto Bock Healthcare Products Gmbh Orthopädische Einrichtung mit einem Gelenk sowie Verfahren zur Steuerung einer orthopädischen Einrichtung
DE102009052888A1 (de) 2009-11-13 2011-05-19 Otto Bock Healthcare Products Gmbh Verfahren und Vorrichtung zur Steuerung eines künstlichen orthetischen oder prothetischen Gelenkes
DE102009052887B4 (de) * 2009-11-13 2016-09-15 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung eines orthetischen oder prothetischen Gelenkes einer unteren Extremität
DE102009052895A1 (de) 2009-11-13 2011-05-19 Otto Bock Healthcare Products Gmbh Verfahren und Vorrichtung zur Steuerung eines künstlichen orthetischen oder prothetischen Kniegelenkes
DE102009052890A1 (de) * 2009-11-13 2011-05-19 Otto Bock Healthcare Products Gmbh Vorrichtung und Verfahren zur Steuerung eines künstlichen orthetischen oder prothetischen Gelenkes
JP2013524880A (ja) * 2010-04-05 2013-06-20 アイウォーク， インコーポレイテッド プロテーゼまたは装具におけるトルク制御
WO2012125562A1 (en) * 2011-03-11 2012-09-20 Iwalk, Inc. Biomimetic joint actuators
GB201121437D0 (en) * 2011-12-13 2012-01-25 Blatchford & Sons Ltd A lower limb prothesis
DE102012003369A1 (de) * 2012-02-22 2013-08-22 Otto Bock Healthcare Gmbh Verfahren zur Steuerung eines künstlichen Orthesen- oder Prothesenkniegelenks
DE102013011080A1 (de) 2013-07-03 2015-01-08 Otto Bock Healthcare Gmbh Orthopädietechnische Gelenkeinrichtung und Verfahren zu deren Steuerung
DE102013013810B3 (de) * 2013-08-22 2015-02-19 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung eines künstlichen Orthesen- oder Prothesenkniegelenkes
DE102015106390B4 (de) 2015-04-24 2016-11-10 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung einer Dämpfungsveränderung
DE102015106391B4 (de) * 2015-04-24 2020-07-09 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung eines künstlichen Kniegelenkes
DE102015106392B4 (de) * 2015-04-24 2020-07-09 Otto Bock Healthcare Products Gmbh Verfahren zur Steuerung der Standphasendämpfung eines künstlichen Kniegelenks

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20180125681A1 (en) * 2015-04-24 2018-05-10 Otto Bock Healthcare Products Gmbh Method for controlling a change of damping in an artificial joint

Also Published As

Publication number Publication date
DE102020004336A1 (de) 2022-01-20
WO2022018073A2 (de) 2022-01-27
US20230293320A1 (en) 2023-09-21
EP4181838A2 (de) 2023-05-24
CN116194064A (zh) 2023-05-30
JP7844360B2 (ja) 2026-04-13
JP2023534396A (ja) 2023-08-09

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