DE10237373A1 - Artificial joint - Google Patents
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- DE10237373A1 DE10237373A1 DE10237373A DE10237373A DE10237373A1 DE 10237373 A1 DE10237373 A1 DE 10237373A1 DE 10237373 A DE10237373 A DE 10237373A DE 10237373 A DE10237373 A DE 10237373A DE 10237373 A1 DE10237373 A1 DE 10237373A1
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- 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
- A61F2/54—Artificial arms or hands or parts thereof
- A61F2/58—Elbows; Wrists ; Other joints; Hands
- A61F2/583—Hands; Wrist joints
- A61F2/585—Wrist joints
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- 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
- A61F2/54—Artificial arms or hands or parts thereof
- A61F2/58—Elbows; Wrists ; Other joints; Hands
- A61F2/583—Hands; Wrist joints
- A61F2/586—Fingers
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- 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
- A61F2/74—Operating or control means fluid, i.e. hydraulic or pneumatic
-
- 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
- A61F2/5044—Designing or manufacturing processes
- A61F2/5046—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, finite-element analysis or CAD-CAM techniques
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- 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
- A61F2/54—Artificial arms or hands or parts thereof
- A61F2/58—Elbows; Wrists ; Other joints; Hands
-
- 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
- A61F2/54—Artificial arms or hands or parts thereof
- A61F2/58—Elbows; Wrists ; Other joints; Hands
- A61F2/581—Shoulder joints
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- 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
- A61F2/605—Hip joints
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- 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
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- 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
- A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
- A61F2002/0086—Special surfaces of prostheses, e.g. for improving ingrowth for preferentially controlling or promoting the growth of specific types of cells or tissues
-
- 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
- A61F2002/5007—Prostheses not implantable in the body having elastic means different from springs, e.g. including an elastomeric insert
-
- 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
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- 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
- A61F2002/5066—Muscles
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- 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
- A61F2002/5093—Tendon- or ligament-replacing cables
-
- 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
- A61F2/66—Feet; Ankle joints
- A61F2002/6614—Feet
-
- 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
- A61F2/68—Operating or control means
- A61F2002/6872—Operating or control means attached and mechanically operated by remaining muscle
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- Health & Medical Sciences (AREA)
- Transplantation (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Biomedical Technology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Die Erfindung betrifft ein künstliches Gelenk (1), insbesondere einer künstlichen Hand, bestehend aus mehreren, gelenkig miteinander verbundenen Gliedern (2, 3). Die einzelnen Glieder (2, 3) sind mittels eines elastischen Verbindungselementes (4) um mehrere Achsen schwenkbar miteinander verbunden, so dass jeweils eine mittels eines Zugmittels (8, 9) eingeleitete Zugkraft zum Beugen und zum Strecken des jeweiligen Gliedes (2, 3) vorgesehen ist. Um unabhängig von der jeweiligen Gelenkstellung sowohl eine hohe Belastbarkeit zur Übertragung großer Kräfte als auch eine Vielzahl von Freiheitsgraden für unterschiedliche Greiffunktionen realisieren zu können, wird mittels des Zugmittels (8, 9) der Gelenkspalt (7) zwischen den benachbarten Gelenkflächen (5, 6) bedarfsweise derart verringert, dass die jeweils gewünschte Anzahl von Freiheitsgraden eingestellt und zugleich eine Versteifung des Gelenkes (1) erreicht werden kann.The invention relates to an artificial joint (1), in particular an artificial hand, consisting of several articulated links (2, 3). The individual links (2, 3) are connected to one another by means of an elastic connecting element (4) so as to be pivotable about several axes, so that in each case a tensile force introduced by means of a traction means (8, 9) for bending and stretching the respective link (2, 3) is provided. In order to be able to implement both a high load capacity for the transmission of large forces and a large number of degrees of freedom for different gripping functions regardless of the respective joint position, the joint gap (7) between the adjacent joint surfaces (5, 6) is used by means of the traction means (8, 9) if necessary reduced in such a way that the desired number of degrees of freedom can be set and at the same time a stiffening of the joint (1) can be achieved.
Description
Die Erfindung betrifft ein künstliches Gelenk, insbesondere einer künstlichen Hand, bestehend aus mehreren, gelenkig miteinander verbundenen Gliedern, wobei jeweils mindestens ein mittels eines Stellgliedes bewegliches Zugmittel zum Beugen und zum Strecken des Gliedes vorgesehen ist.The invention relates to an artificial Joint, especially an artificial one Hand, consisting of several articulated links, where in each case at least one movable by means of an actuator Traction means for bending and stretching the limb is provided.
Ein solches künstliches Gelenk ist beispielsweise
durch die
Weiterhin zeigt auch die
Die
Durch die
Weitere künstliche Gelenke sind durch
die
Alle bisher bekannten Gelenke haben jedoch den gemeinsamen Nachteil, dass sie die beiden Hauptzielsetzungen, einerseits hinsichtlich der gewünschten Beweglichkeit mit einer Vielzahl von Freiheitsgraden, die bei gesunden Gliedmaßen die Fingerfertigkeit gewährleistet, und der andererseits gewünschten hohen Belastbarkeit zur Übertragung großer Kräfte, nur in sehr eingeschränktem Maße miteinander in Einklang bringen können. Die bei natürlichen Gliedmaßen bekannten Eigenschaften lassen sich jedoch bisher durch künstliche Gelenke nicht annähernd realisieren. Die Einschränkungen, die der Träger einer derartigen Prothese hinnehmen muss, sind daher erheblich und schränken dadurch die Ausführungen manueller Tätigkeit deutlich ein.All known joints have however, the common disadvantage that they have the two main objectives, on the one hand with regard to the desired Mobility with a variety of degrees of freedom in healthy limbs the dexterity ensures and the one you want high resilience for transmission greater forces only in very limited Measurements with each other can reconcile. Those known for natural limbs So far, however, properties have not been achieved by artificial joints. The restrictions that of the carrier of such a prosthesis are therefore considerable and limit thereby the executions manual activity clearly one.
Aufgabe der vorliegenden Erfindung ist es daher, ein künstliches Gelenk der eingangs genannten Art derart auszuführen, dass dadurch sowohl eine hohe Belastbarkeit zur Übertragung großer Kräfte, als auch eine Vielzahl von Freiheitsgraden für unterschiedliche Greiffunktionen realisierbar ist.Object of the present invention it is therefore an artificial one Execute joint of the type mentioned in such a way that both a high Resilience for transmission greater Forces than also a variety of degrees of freedom for different gripping functions is feasible.
Diese Aufgabe wird erfindungsgemäß mit einem künstlichen Gelenk gemäß den Merkmalen des Patentanspruchs 1 gelöst. Die Unteransprüche betreffen besonders zweckmäßige Weiterbildungen der Erfindung.This object is achieved with a artificial Joint according to the characteristics of claim 1 solved. The subclaims concern particularly useful further training the invention.
Erfindungsgemäß ist also ein künstliches Gelenk vorgesehen, bei dem die einzelnen Glieder durch ein elastisches Verbindungselement derart miteinander verbunden sind, dass ein Gelenkspalt zwischen den Gliedern durch Einleitung einer Zugkraft in zumindest eines der Zugmittel des Gliedes verringerbar ist. Hierdurch werden die jeweiligen Freiheitsgrade, welche die Beweglichkeit der Glieder bestimmen, nicht etwa unveränderlich vorgegeben, son dern werden durch die Einleitung der Zugkraft bestimmt. Dadurch können bei einer geringen, beispielsweise zum weitgehend kraftlosen Beugen des Gliedes eingeleiteten Zugkraft eine große Zahl von Freiheitsgraden mittels des Verbindungselementes realisiert werden, welches dabei nicht nur der Realisierung eines Mehrgelenkes dient, sondern durch seine elastischen Eigenschaften auch eine Torsion um die Längsachse der Glieder sowie eine viskoelastische Dehnung des Gelenkes (Extension) in Richtung, beispielsweise der Fingerspitze, gestattet. Sobald vergleichsweise große Zugkräfte, beispielsweise zum Halten schwerer Lasten, eingeleitet werden, wird zugleich der Gelenkspalt und dadurch die Anzahl der Freiheitsgrade verringert, wodurch eine Versteifung des Gelenkes eintritt. Hierdurch können bei eingeschränkter Beweglichkeit große Lasten gehalten werden. Die so erreichbaren Eigenschaften des künstlichen Gelenkes, welches zwar vornehmlich für Prothesen gedacht, jedoch grundsätzlich auch für technische Anwendungen geeignet ist, vereinen daher in bisher unbekanntem Maße sowohl ein hohes Maß an Beweglichkeit durch eine Vielzahl von Freiheitsgraden, als auch eine hohe Belastbarkeit in Abhängigkeit von den eingeleiteten Zugkräften.According to the invention is therefore an artificial joint provided in which the individual links by an elastic Connecting element are connected to each other in such a way that a joint gap between the limbs by introducing a tensile force in at least one of the traction means of the link can be reduced. This will the respective degrees of freedom, which the mobility of the limbs determine, not unchangeable specified, but are determined by the introduction of the tractive force. This allows with a small, for example largely weak bend of the link introduced a large number of degrees of freedom by means of of the connecting element can be realized, which is not only serves the realization of a multi-joint, but through its elastic properties also a torsion about the longitudinal axis of the Limbs and a viscoelastic stretching of the joint (extension) in the direction of, for example, the fingertip. As soon as comparatively large tensile forces, for example, for holding heavy loads at the same time the joint gap and thereby the number of degrees of freedom are reduced, which stiffens the joint. This allows you to limited Agility great Loads are held. The properties of the artificial that can be achieved in this way Joint, which is primarily intended for prostheses, however in principle also for technical applications is suitable, therefore unite in previously unknown Dimensions both a high level of Mobility through a variety of degrees of freedom, as well high resilience depending from the tensile forces introduced.
Dabei erweist sich eine Ausführungsform der vorliegenden Erfindung als besonders erfolgversprechend, bei welcher der Gelenkspalt unabhängig von einer gebeugten oder gestreckten Stellung des Gliedes festlegbar ist. Die Bewegung in die gebeugte oder die gestreckte Stellung wird grundsätzlich dadurch eingeleitet, dass die jeweils der Bewegung zugeordneten Zugkräfte voneinander abweichen. Eine gewünschte Stellung des Gliedes kann daher sowohl durch große, als auch durch geringe Zugkräfte eingestellt werden, sofern diese im Gleichgewicht sind. Durch die Anpassung dieses Gleichgewichtsniveaus wird daher nicht die Stellung des Gliedes, wohl aber der Gelenkspalt und damit die Steifigkeit und die Anzahl der Freiheitsgrade, unabhängig von der Gelenkstellung und der relativen Stellung der Glieder zueinander, verändert.An embodiment of the present invention proves to be particularly promising in which the joint gap can be fixed independently of a bent or extended position of the link. The movement into the flexed or the extended position is basically initiated in that the tensile forces assigned to the movement differ from one another. A desired position of the link can therefore be set by both large and low tensile forces, provided that they are in equilibrium. By adjusting this level of equilibrium, therefore, the position of the limb does not, but it does the joint gap and thus the stiffness and the number of degrees of freedom, regardless of the joint position and the relative position of the links to each other, changed.
Grundsätzlich wird durch die Spaltbreite des Gelenkspaltes die Anzahl der Freiheitsgrade bestimmt. Besonders günstig ist es hingegen auch, wenn das Gelenk mit abnehmender Spaltbreite des Gelenkspaltes zugleich eine verringerte Anzahl von Freiheitsgraden aufweist. Hierdurch führt eine verminderte Spaltbreite, die unter Einleitung einer erhöhten Zugkraft erreicht wird, zugleich zu einer stufenweisen Verringerung der Anzahl der Freiheitsgrade und zu einer Erhöhung der Steifigkeit.Basically, the gap width of the joint gap determines the number of degrees of freedom. Especially Cheap it is, however, also when the joint with decreasing gap width the joint gap also a reduced number of degrees of freedom having. This leads a reduced gap width, the initiation of an increased tensile force is achieved, at the same time a gradual reduction in the number degrees of freedom and an increase in rigidity.
Als besonders erfolgversprechend erweist sich auch eine Abwandlung der Erfindung, bei welcher der Gelenkspalt bei Erreichen einer vorbestimmten Zugkraft zu null reduziert ist, wobei benachbarte Gelenkflächen der Glieder flächig gegeneinander liegen. Bei Erreichen einer vorbestimmten Zugkraft entfällt daher der Gelenkspalt, so dass die benachbarten konvexen und konkaven Gelenkflächen gegeneinander liegen und dadurch die Kraftübertragung unmittelbar von einem Glied auf das benachbarte Glied erfolgt, ohne dass dabei das Gelenk belastet wird. Die Gelenkflächen können hierzu auch formschlüssig gegeneinander liegen, um so eine definierte, stabile Gelenkstellung bei Einleitung der maximalen Zugkraft vorzugeben.As particularly promising also shows a modification of the invention, in which the Joint gap reduced to zero when a predetermined tensile force is reached is, with adjacent articular surfaces the limbs flat lie against each other. When a predetermined tensile force is reached deleted hence the joint gap, so that the adjacent convex and concave Articular surfaces against each other lie and thereby the power transmission takes place directly from one link to the adjacent link without that the joint is strained. The articular surfaces can do this also form-fitting lie against each other to create a defined, stable joint position to be specified when initiating the maximum pulling force.
Dabei erweist es sich in der Praxis als besonders zweckmäßig, wenn das Verbindungselement aus einem viskoelastischen Material, insbesondere aus Silikon, besteht. Hierbei wird durch die rheologischen Eigenschaften zusätzlich zu den elastischen Eigenschaften eine Nachgiebigkeit und Zähigkeit erreicht, durch die insbesondere schlagartige Krafteinleitungen gedämpft werden und daher nicht zu einer Schädigung des Gelenkes führen können. Gleichzeitig wird das zugmechanische Verhalten des Gelenkes bei Beanspruchung verbessert. Dabei ist es besonders günstig, wenn die Zugmittel aus Nylon bestehen. Hierdurch können hohe Zugkräfte bei einer zugleich geringen Verschleißanfälligkeit übertragen werden. Zudem weist Nylon optimale Gleiteigenschaften auf, so dass die von dem Stellglied aufzubringenden Betätigungskräfte vergleichsweise gering sind. Weitere geeignete Zugmittel sind auch durch Stahldraht und natürliches Sehnenmaterial realisierbar.It turns out in practice as particularly useful if the connecting element made of a viscoelastic material, in particular Silicone. This is due to the rheological properties additionally a resilience and toughness to the elastic properties achieved by the sudden force in particular muted and therefore cannot damage the joint. simultaneously the tensile mechanical behavior of the joint under stress improved. It is particularly advantageous if the traction means Nylon are made. This can high tractive forces are transmitted with a low susceptibility to wear. Also points Nylon optimal sliding properties so that those of the actuator actuating forces to be applied comparatively are low. Steel wire is another suitable means of traction and natural String material possible.
Das Zugmittel könnte zur Verkürzung mittels einer Spindel aufgewickelt werden oder einen hydraulischen oder pneumatischen Antrieb aufweisen. Besonders erfolgversprechend ist hingegen eine Ausgestaltung der vorliegenden Erfindung, bei welcher das Stellglied als ein Linearantrieb ausgeführt ist. Hierdurch ist der Platzbedarf vergleichsweise gering und zugleich wird die Positionierung durch eine exakt reproduzierbare Stellbewegung verbessert. Das Stellglied kann dadurch auch im Inneren der das künstliche Gelenk aufweisenden Prothese untergebracht werden, wodurch der Tragkomfort wesentlich verbessert werden kann.The traction means could be shortened by means of a Spindle can be wound up or a hydraulic or pneumatic Have drive. On the other hand, an embodiment is particularly promising of the present invention, in which the actuator acts as a linear actuator is executed. As a result, the space requirement is comparatively small and at the same time positioning is achieved through an exactly reproducible positioning movement improved. The actuator can thereby also inside the artificial Articulated prosthesis can be accommodated, which increases comfort can be significantly improved.
Eine andere besonders praxisnahe Ausgestaltung der Erfindung ist dann erreicht, wenn das Gelenk einen die Glieder tragenden Grundträger aufweist, welcher mehrere von der Bewegung der Glieder unbeeinflußte und durch die Zugmittel gegeneinander anlegbare Grundelemente aufweist. Hierdurch kann der Verstärkungseffekt des Gelenkes nicht lediglich bei den einzelnen Gliedern des Gelenkes, sondern auch bei den Grundelementen des Grundträgers genutzt werden, der dadurch im unbelasteten Zustand ein hohes Maß an Flexibilität und bei Einleitung der Zugkraft eine hohe Formsteifigkeit aufweist.Another particularly practical one Embodiment of the invention is achieved when the joint the basic structure supporting the limbs which has several unaffected by the movement of the limbs and has base elements which can be placed against one another by the traction means. This can increase the gain of the joint not only in the individual limbs of the joint, but can also be used in the basic elements of the basic carrier, which thereby in the unloaded state a high degree of flexibility and at Initiation of the tensile force has a high degree of rigidity.
Eine andere besonders zweckmäßige Ausgestaltung der vorliegenden Erfindung wird auch dadurch geschaffen, dass die Glieder entsprechend den Abmessungen der vorhandenen Gliedmaßen des Patienten individuell herstellbar sind. Hierdurch können die Eigenschaften sowie das optische Erscheinungsbild des Gelenkes dem verbliebenen Gelenk des Patienten angepasst werden. Die Funktionalität für den Patienten kann dadurch wesentlich verbessert werden.Another particularly useful embodiment The present invention is also achieved in that the Limbs according to the dimensions of the existing limbs of the Patients can be manufactured individually. This allows the Properties as well as the visual appearance of the joint remaining joint of the patient can be adjusted. The functionality for the patient can be significantly improved.
Hierzu ist es in der Praxis besonders vorteilhaft, wenn die Glieder im Rapid-Prototyping-Verfahren, insbesondere durch ein Laser-Sinter-Verfahren, herstellbar sind. Dadurch können die Glieder in relativ kurzer Zeit hergestellt werden. Die jeweils erforderlichen Eigenschaften des Gliedes können nach den Wünschen des Patienten individuell hergestellt werden. Dabei können insbesondere biokompatible Materialien eingesetzt werden.It is special in practice for this advantageous if the limbs in the rapid prototyping process, in particular can be produced by a laser sintering process. This allows the Limbs can be produced in a relatively short time. The required in each case Link properties can according to the wishes of the patient are made individually. In particular, biocompatible materials are used.
Eine andere besonders erfolgversprechende Abwandlung wird dadurch erreicht, dass das Gelenk Bestandteile von lebendem Gewebe aufweist. Diese beispielsweise außerhalb des Körpers gezüchteten und mittels eines Trägermaterials in die gewünschte Form gebrachten Gelenkbestandteile ermöglichen ein hohes Maß an Verträglichkeit mit den vorhandenen Gliedmaßen und weisen zudem Eigenschaften auf, die mit körpertremden Materialien nicht erreichbar sind.Another particularly promising variation is achieved in that the joint is part of living Has tissue. These, for example, are grown outside the body and by means of a carrier material in the desired shape brought joint components allow a high degree of compatibility with the existing limbs and also have properties that are not possible with materials that are not important for the body are reachable.
Besonders günstig ist es auch, wenn mittels des Stellgliedes die Muskelkraft körpereigener Muskelfasern nutzbar ist. Hierdurch kann das Stellglied hinsichtlich seiner Baugröße erheblich verringert werden, indem dieses im wesentlichen der Übertragung eines Impulses dient, währen die eigentliche Krafteinleitung durch die verbliebenen bzw. körpereigenen Muskelfasern erreicht wird.It is also particularly advantageous if the Actuator the muscle strength of the body Muscle fibers can be used. As a result, the actuator can its size considerably be reduced by essentially transferring this serves an impulse while the actual application of force by the remaining or the body's own Muscle fibers is reached.
Die Erfindung lässt verschiedene Ausführungsformen zu. Zur weiteren Verdeutlichung ihres Grundprinzips ist eine davon in der Zeichnung dargestellt und wird nachfolgend beschrieben. Diese zeigt jeweils in einer gestreckten Stellung inThe invention leaves various embodiments to. One of them is to clarify its basic principle shown in the drawing and is described below. This shows in an extended position in
Eine zur Übertragung großer Kräfte geeignete
gestreckte Stellung der Glieder
Claims (12)
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
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DE10237373A DE10237373A1 (en) | 2002-08-12 | 2002-08-12 | Artificial joint |
AU2003266119A AU2003266119A1 (en) | 2002-08-12 | 2003-08-12 | Artificial joint |
PCT/DE2003/002719 WO2004019831A2 (en) | 2002-08-12 | 2003-08-12 | Artificial joint |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE10237373A DE10237373A1 (en) | 2002-08-12 | 2002-08-12 | Artificial joint |
Publications (1)
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DE10237373A1 true DE10237373A1 (en) | 2004-03-04 |
Family
ID=31197032
Family Applications (1)
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DE10237373A Withdrawn DE10237373A1 (en) | 2002-08-12 | 2002-08-12 | Artificial joint |
Country Status (3)
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AU (1) | AU2003266119A1 (en) |
DE (1) | DE10237373A1 (en) |
WO (1) | WO2004019831A2 (en) |
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WO2006060992A1 (en) * | 2004-12-03 | 2006-06-15 | Aequos Endoprothetik Gmbh | Artificial joint element and gripping tool equipped with the same |
DE102005061266A1 (en) * | 2005-12-20 | 2007-08-16 | Otto Bock Healthcare Ip Gmbh & Co. Kg | Hand prosthesis and power transmission device |
US7867287B2 (en) | 2005-12-20 | 2011-01-11 | Otto Bock Healthcare Gmbh | Hand prosthesis with fingers that can be aligned in an articulated manner |
US8343234B2 (en) | 2005-12-20 | 2013-01-01 | Otto Bock Healthcare Gmbh | Hand prosthesis comprising two drive devices |
EP2510906A3 (en) * | 2009-07-02 | 2013-03-20 | Rslsteeper Group Limited | A prosthesis and a prosthetic device |
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GB0107708D0 (en) | 2001-03-28 | 2001-05-16 | Imp College Innovations Ltd | Bone fixated,articulated joint load control device |
US10022154B2 (en) | 2007-05-01 | 2018-07-17 | Moximed, Inc. | Femoral and tibial base components |
US9907645B2 (en) | 2007-05-01 | 2018-03-06 | Moximed, Inc. | Adjustable absorber designs for implantable device |
US20110245928A1 (en) | 2010-04-06 | 2011-10-06 | Moximed, Inc. | Femoral and Tibial Bases |
US20100137996A1 (en) | 2007-05-01 | 2010-06-03 | Moximed, Inc. | Femoral and tibial base components |
US8894714B2 (en) | 2007-05-01 | 2014-11-25 | Moximed, Inc. | Unlinked implantable knee unloading device |
US8100967B2 (en) | 2007-05-01 | 2012-01-24 | Moximed, Inc. | Adjustable absorber designs for implantable device |
US20080275567A1 (en) | 2007-05-01 | 2008-11-06 | Exploramed Nc4, Inc. | Extra-Articular Implantable Mechanical Energy Absorbing Systems |
US7678147B2 (en) | 2007-05-01 | 2010-03-16 | Moximed, Inc. | Extra-articular implantable mechanical energy absorbing systems and implantation method |
US9668868B2 (en) | 2009-08-27 | 2017-06-06 | Cotera, Inc. | Apparatus and methods for treatment of patellofemoral conditions |
US10349980B2 (en) | 2009-08-27 | 2019-07-16 | The Foundry, Llc | Method and apparatus for altering biomechanics of the shoulder |
US8597362B2 (en) | 2009-08-27 | 2013-12-03 | Cotera, Inc. | Method and apparatus for force redistribution in articular joints |
US9861408B2 (en) | 2009-08-27 | 2018-01-09 | The Foundry, Llc | Method and apparatus for treating canine cruciate ligament disease |
US9278004B2 (en) | 2009-08-27 | 2016-03-08 | Cotera, Inc. | Method and apparatus for altering biomechanics of the articular joints |
US9044270B2 (en) | 2011-03-29 | 2015-06-02 | Moximed, Inc. | Apparatus for controlling a load on a hip joint |
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Also Published As
Publication number | Publication date |
---|---|
WO2004019831A2 (en) | 2004-03-11 |
AU2003266119A8 (en) | 2004-03-19 |
AU2003266119A1 (en) | 2004-03-19 |
WO2004019831A3 (en) | 2004-09-30 |
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