DE202009018402U1 - Device for monitoring and controlling the loading of implanted hip joints during postoperative exercise to increase exercise capacity and other postoperative rehabilitation measures - Google Patents

Device for monitoring and controlling the loading of implanted hip joints during postoperative exercise to increase exercise capacity and other postoperative rehabilitation measures Download PDF

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DE202009018402U1
DE202009018402U1 DE202009018402U DE202009018402U DE202009018402U1 DE 202009018402 U1 DE202009018402 U1 DE 202009018402U1 DE 202009018402 U DE202009018402 U DE 202009018402U DE 202009018402 U DE202009018402 U DE 202009018402U DE 202009018402 U1 DE202009018402 U1 DE 202009018402U1
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    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01MCATCHING, TRAPPING OR SCARING OF ANIMALS; APPARATUS FOR THE DESTRUCTION OF NOXIOUS ANIMALS OR NOXIOUS PLANTS
    • A01M7/00Special adaptations or arrangements of liquid-spraying apparatus for purposes covered by this subclass
    • A01M7/0089Regulating or controlling systems
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B17/00Insoles for insertion, e.g. footbeds or inlays, for attachment to the shoe after the upper has been joined
    • AHUMAN NECESSITIES
    • A43FOOTWEAR
    • A43BCHARACTERISTIC FEATURES OF FOOTWEAR; PARTS OF FOOTWEAR
    • A43B3/00Footwear characterised by the shape or the use
    • A43B3/34Footwear characterised by the shape or the use with electrical or electronic arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/1036Measuring load distribution, e.g. podologic studies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/112Gait analysis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/22Ergometry; Measuring muscular strength or the force of a muscular blow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4528Joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/6804Garments; Clothes
    • A61B5/6807Footwear
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F03MACHINES OR ENGINES FOR LIQUIDS; WIND, SPRING, OR WEIGHT MOTORS; PRODUCING MECHANICAL POWER OR A REACTIVE PROPULSIVE THRUST, NOT OTHERWISE PROVIDED FOR
    • F03BMACHINES OR ENGINES FOR LIQUIDS
    • F03B15/00Controlling
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F03MACHINES OR ENGINES FOR LIQUIDS; WIND, SPRING, OR WEIGHT MOTORS; PRODUCING MECHANICAL POWER OR A REACTIVE PROPULSIVE THRUST, NOT OTHERWISE PROVIDED FOR
    • F03BMACHINES OR ENGINES FOR LIQUIDS
    • F03B17/00Other machines or engines
    • F03B17/06Other machines or engines using liquid flow with predominantly kinetic energy conversion, e.g. of swinging-flap type, "run-of-river", "ultra-low head"
    • F03B17/062Other machines or engines using liquid flow with predominantly kinetic energy conversion, e.g. of swinging-flap type, "run-of-river", "ultra-low head" with rotation axis substantially at right angle to flow direction
    • F03B17/063Other machines or engines using liquid flow with predominantly kinetic energy conversion, e.g. of swinging-flap type, "run-of-river", "ultra-low head" with rotation axis substantially at right angle to flow direction the flow engaging parts having no movement relative to the rotor during its rotation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/09Rehabilitation or training
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4571Evaluating the hip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/46Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4657Measuring instruments used for implanting artificial joints
    • A61F2002/4666Measuring instruments used for implanting artificial joints for measuring force, pressure or mechanical tension
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F05INDEXING SCHEMES RELATING TO ENGINES OR PUMPS IN VARIOUS SUBCLASSES OF CLASSES F01-F04
    • F05BINDEXING SCHEME RELATING TO WIND, SPRING, WEIGHT, INERTIA OR LIKE MOTORS, TO MACHINES OR ENGINES FOR LIQUIDS COVERED BY SUBCLASSES F03B, F03D AND F03G
    • F05B2240/00Components
    • F05B2240/40Use of a multiplicity of similar components
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F05INDEXING SCHEMES RELATING TO ENGINES OR PUMPS IN VARIOUS SUBCLASSES OF CLASSES F01-F04
    • F05BINDEXING SCHEME RELATING TO WIND, SPRING, WEIGHT, INERTIA OR LIKE MOTORS, TO MACHINES OR ENGINES FOR LIQUIDS COVERED BY SUBCLASSES F03B, F03D AND F03G
    • F05B2240/00Components
    • F05B2240/90Mounting on supporting structures or systems
    • F05B2240/93Mounting on supporting structures or systems on a structure floating on a liquid surface
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02EREDUCTION OF GREENHOUSE GAS [GHG] EMISSIONS, RELATED TO ENERGY GENERATION, TRANSMISSION OR DISTRIBUTION
    • Y02E10/00Energy generation through renewable energy sources
    • Y02E10/20Hydro energy

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Abstract

Einrichtung zur Überwachung und Kontrolle der Belastung von künstlichen Hüftgelenken während des postoperativen Trainings zur Steigerung der Belastbarkeit und weiterer postoperativer Rehabilitationsmaßnahmen, gekennzeichnet durch wenigstens eine in egrierte oder einfügbare Sensoreinrichtung (4, 6), die die Belastung laufend oder in Zeitintervallen ermittelt und mit einem Schwellenwert vergleicht und bei Überschreitung des Schwellenwertes ein Warnsignal erzeugt.Device for monitoring and controlling the load on artificial hip joints during postoperative training to increase resilience and other postoperative rehabilitation measures, characterized by at least one integrated or insertable sensor device (4, 6) that determines the load continuously or at time intervals and with a threshold value compares and generates a warning signal when the threshold is exceeded.

Description

Die Erfindung betrifft eine Einrichtung zur Überwachung und Kontrolle der Belastung von implantierten Hüftgelenken während des postoperativen Trainings zur Steigerung der Belastbarkeit und weiterer postoperativer Rehabilitationsmaßnahmen.The invention relates to a device for monitoring and controlling the load of implanted hip joints during postoperative training to increase the resilience and other postoperative rehabilitation measures.

Der Ersatz des Hüftgelenks durch ein künstliches Gelenk ist zumindest in Deutschland eine der häufigsten Operationen. Um eine möglichst schnelle Vollbelastung der operierten Patienten und eine schnelle Wiedereingliederung in das Alltags- bzw. Berufsleben zu ermöglichen, beginnen bereits am Tag nach der Operation Maßnahmen zur Mobilisierung, denen sich Rehabilitationsmaßnahmen anschließen. Hierzu sind spezielle Belastungstrainings-Methoden vorgesehen, wobei aber auf jeden Fall Überbelastungen vermieden werden müssen, die sich nachteilig auf die Gelenkverankerung und den Heilungsverlauf auswirken.The replacement of the hip joint by an artificial joint is at least in Germany one of the most common operations. In order to enable as fast as possible full loading of the operated patients and a quick reintegration into the everyday life and / or professional life, already on the day after the operation measures for the mobilization, which are followed by rehabilitation measures. For this purpose, special load training methods are provided, but in any case overloads must be avoided, which adversely affect the joint anchorage and the healing process.

So wird beim zementfreien Einsatz des künstlichen Hüftgelenks nach der Operation das betreffende Bein für ca. sechs Wochen mittels Unterarmgehstützen entlastet, da erst neuer Knochen sozusagen in die Prothese hineinwachsen muss.For example, in the cement-free use of the artificial hip joint after the operation, the affected leg is relieved for about six weeks by means of underarm crutches, because only new bone has to grow into the prosthesis, so to speak.

Das angesprochene Belastungstraining wird in der Regel mit Hilfe einer Waage durchgeführt, auf die der Patient mit dem dem künstlichen Hüftgelenk zugeordneten Bein steigt, während er gleichzeitig mit dem anderen Bein auf einer gleich hohen stationären Ebene steht. Dieses Verfahren zur Belastungskontrolle ist ungenau und unbequem für den Patienten und hat den weiteren Nachteil, dass die vorgesehenen Teilbelastungen nicht eingehalten werden können und leicht überschritten werden.The mentioned load training is usually carried out with the help of a scale on which the patient rises with the artificial hip joint associated leg, while he stands simultaneously with the other leg on an equally high stationary level. This method of stress control is inaccurate and inconvenient for the patient and has the further disadvantage that the intended partial loads can not be met and are easily exceeded.

Die Aufgabe der vorliegenden Erfindung besteht deshalb darin, eine Einrichtung anzugeben, mit der die Überwachung und Kontrolle der Gewichtsbelastung eines Beins bei einem implantierten künstlichen Hüftgelenk einfacher, genauer und bequemer durchführbar ist.The object of the present invention is therefore to provide a device with which the monitoring and control of the weight load of a leg in an implanted artificial hip joint is simpler, more accurate and more convenient to carry out.

Diese Aufgabe wird durch die Erfindung gemäß Anspruch 1 gelöst.This object is achieved by the invention according to claim 1.

Vorteilhafte und zweckmäßige Weiterbildungen der Aufgabenlösung sind in den Unteransprüchen angegeben.Advantageous and expedient developments of the task solution are specified in the dependent claims.

Die erfindungsgemäße Aufgabenlösung schlägt vor, in den Schuh für den Fuß eines einem künstlichen Hüftgelenk zugeordneten Beins eine Sensoreinrichtung einzubauen, die ständig oder in Zeitintervallen die Gewichtsbelastung dieses Beins misst und mit einem vorgebbaren Sollwert vergleicht und bei Überschreitung des Sollwerts ein geeignetes Warnsignal abgibt, auf das der Patient dann entsprechend reagieren kann, um Überbelastungen des künstlichen Hüftgelenks zu vermeiden. Für den Fall, dass optische und akustische Warnsignale vom Patienten nicht akzeptiert werden, sieht eine Weiterbildung der Erfindung vor, ein taktiles Warnsignal zu erzeugen, das nur vom Patienten wahrgenommen wird, und nicht von anderen Personen.The task solution according to the invention proposes to incorporate into the shoe for the foot of a leg associated with an artificial hip joint a sensor device which continuously or at intervals measures the weight load of this leg and compares it with a predefinable desired value and outputs a suitable warning signal if the setpoint value is exceeded the patient can then react accordingly to avoid overloading the artificial hip joint. In the event that optical and acoustic warning signals are not accepted by the patient, a development of the invention provides for generating a tactile warning signal that is only perceived by the patient, and not by other persons.

Die Erfindung soll nachfolgend anhand eines Ausführungsbeispiels näher erläutert werden.The invention will be explained in more detail with reference to an embodiment.

Die Zeichnung zeigt schematisch eine Schuhsohle oder Einlegesohle 2 für den Schuh eines Patienten, der ein künstliches Hüftgelenk erhalten hat.The drawing shows schematically a shoe sole or insole 2 for the shoe of a patient who has received an artificial hip joint.

In die Sohle 2 ist ein Drucksensor 4 integriert, der mit einer elektronischen, vorzugsweise in die Sohle 2 integrierten Auswerteeinrichtung 6 in Verbindung steht und dieser Auswerteeinrichtung die Messsignale zuführt. In dieser Auswerteeinrichtung 6 sind individuelle voreingestellte oder bspw. Per Fernbedienung eingebbare Sollwerte für Belastungsgewichte abgelegt. Mit diesen Sollwerten werden die Ist-Messwerte verglichen. Bei Überschreitung der Sollwerte gibt die Auswerteeinrichtung ein entsprechendes Warnsignal 8 ab, das bspw. akustischer oder optischer Art sein kann. Auf dieses Signal hin kann der Patient dann entsprechend reagieren und die augenblickliche Belastung verringern.In the sole 2 is a pressure sensor 4 integrated, with an electronic, preferably in the sole 2 integrated evaluation device 6 is in communication and this evaluation device supplies the measurement signals. In this evaluation device 6 Individual preset values or, for example, setpoint values for load weights that can be entered by remote control are stored. These actual values are compared with the actual measured values. When the setpoints are exceeded, the evaluation device outputs a corresponding warning signal 8th from, for example, may be acoustic or optical type. Following this signal, the patient can then react accordingly and reduce the instantaneous burden.

Zur Verbesserung der Akzeptanz einer solchen Sensoreinrichtung sind Warnsignale vorgesehen, die nur von Patienten, nicht jedoch von weiteren Personen wahrgenommen werden. Solche Warnsignale können haptischer Art sein.To improve the acceptance of such a sensor device warning signals are provided, which are perceived only by patients, but not by other people. Such warning signals can be of a haptic nature.

Der große Vorteil der erfindungsgemäßen Ausbildung besteht darin, dass die Gewichtsbelastung ständig überwacht und kontrolliert wird, so dass die Gefahr einer Überbelastung des künstlichen Hüftgelenks sicher vermeidbar ist. Ein weiterer wesentlicher Vorteil besteht darin, dass der Patient mit dieser erfindungsgemäßen Einrichtung wesentlich mobiler ist als bei Verwendung der bisherigen im Wesentlichen stationären Messeinrichtung.The great advantage of the embodiment of the invention is that the weight load is constantly monitored and controlled, so that the risk of overloading the artificial hip joint is safely avoidable. Another significant advantage is that the patient with this inventive device is much more mobile than when using the previous substantially stationary measuring device.

Claims (6)

Einrichtung zur Überwachung und Kontrolle der Belastung von künstlichen Hüftgelenken während des postoperativen Trainings zur Steigerung der Belastbarkeit und weiterer postoperativer Rehabilitationsmaßnahmen, gekennzeichnet durch wenigstens eine in eine Sohle oder Einlegesohle (2) von Schuhwerk integrierte oder einfügbare Sensoreinrichtung (4, 6), die die Belastung laufend oder in Zeitintervallen ermittelt und mit einem Schwellenwert vergleicht und bei Überschreitung des Schwellenwertes ein Warnsignal erzeugt.Device for monitoring and controlling the load on artificial hip joints during postoperative exercise to increase exercise capacity and other postoperative rehabilitation measures, characterized by at least one in a sole or insole ( 2 ) footwear integrated or insertable sensor device ( 4 . 6 ), which determines the load continuously or at intervals, and with a threshold compares and generates a warning signal when the threshold is exceeded. Einrichtung nach Anspruch 1, dadurch gekennzeichnet, dass das Warnsignal ein optisches oder akustisches Signal ist.Device according to claim 1, characterized in that the warning signal is an optical or acoustic signal. Einrichtung nach Anspruch 1, dadurch gekennzeichnet, dass das Warnsignal ein nur vom betroffenen Patienten wahrnehmbares Signal ist.Device according to claim 1, characterized in that the warning signal is a perceptible only by the patient concerned signal. Einrichtung nach Anspruch 1 oder 3, dadurch gekennzeichnet, dass das Warnsignal ein taktiles Signal ist.Device according to claim 1 or 3, characterized in that the warning signal is a tactile signal. Einrichtung nach Anspruch 1, dadurch gekennzeichnet, dass die Sensoreinrichtung (4, 6) wenigstens einen die Belastung ermittelnden Drucksensor (4) und eine die Drucksensor-Messsignale auswertende elektronische Auswerteeinrichtung (6) aufweist, in der Soll-Belastungswerte abgelegt sind, wobei die Auswerteeinrichtung die Ist-Messwerte mit den Soll-Belastungswerten vergleicht und bei Überschreitung der Sollwerte oder bei Überschreiten der Soll-Werte um einen vorgebbaren Betrag ein Warnsignal erzeugt.Device according to claim 1, characterized in that the sensor device ( 4 . 6 ) at least one pressure sensor determining the load ( 4 ) and an electronic evaluation device which evaluates the pressure sensor measuring signals ( 6 ), in which the desired load values are stored, wherein the evaluation device compares the actual measured values with the desired load values and generates a warning signal when the setpoint values are exceeded or when the setpoint values are exceeded by a predefinable amount. Einrichtung nach Anspruch 1 oder 5, dadurch gekennzeichnet, dass die Soll-Belastungswerte voreingegeben oder entsprechend dem Trainingsfortschritt oder Rehabilitationsfortschritt einstellbar sind.Device according to claim 1 or 5, characterized in that the desired load values are preset or adjustable according to the progress of training or rehabilitation progress.
DE202009018402U 2009-07-18 2009-07-18 Device for monitoring and controlling the loading of implanted hip joints during postoperative exercise to increase exercise capacity and other postoperative rehabilitation measures Expired - Lifetime DE202009018402U1 (en)

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GB2527168A (en) * 2014-06-14 2015-12-16 Lise Sperling Pape Mobility aid

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CN103239307B (en) * 2013-04-24 2015-03-25 西南交通大学 Method for detecting load bearing efficiency for power-assisted exoskeletons
DE102015108261A1 (en) 2015-05-26 2016-12-15 Edgar Emil Sinn Device for generating a warning signal in case of excessive load on a leg of a patient
DE202015102702U1 (en) 2015-05-26 2015-06-23 Edgar Emil Sinn Device for generating a warning signal in case of excessive load on a leg of a patient
DE102017100636A1 (en) 2017-01-13 2018-07-19 Walter Döll Device for measuring loads and / or partial loads of a foot and for providing a feedback signal thereto and operating method therefor
PL425037A1 (en) * 2018-03-26 2019-10-07 Grzegorz Klekot Device for rehabilitation of lower limbs
CN109452720A (en) * 2018-10-31 2019-03-12 泉州师范学院 A kind of ankle escorts shoes
DE102019108185A1 (en) * 2019-03-29 2020-10-01 B-Horizon GmbH Processing system for measuring and / or processing measured pressure and / or humidity values

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DE9202462U1 (en) * 1992-02-26 1992-04-30 Paromed Medizintechnik Gmbh, 8201 Neubeuern, De
DE202007016709U1 (en) * 2007-11-28 2009-04-09 Spiekermann, Reinhold load trainer

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Publication number Priority date Publication date Assignee Title
GB2527168A (en) * 2014-06-14 2015-12-16 Lise Sperling Pape Mobility aid
GB2527168B (en) * 2014-06-14 2016-11-30 Sperling Pape Lise Mobility aid
US10650691B2 (en) 2014-06-14 2020-05-12 Lise S PAPE Mobility aid

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