EP2949306B1 - System for pre- and aftercare of hip joint patient - Google Patents
System for pre- and aftercare of hip joint patient Download PDFInfo
- Publication number
- EP2949306B1 EP2949306B1 EP14170292.8A EP14170292A EP2949306B1 EP 2949306 B1 EP2949306 B1 EP 2949306B1 EP 14170292 A EP14170292 A EP 14170292A EP 2949306 B1 EP2949306 B1 EP 2949306B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- support
- patient
- drive
- leg
- movement
- 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.)
- Active
Links
- 210000004394 hip joint Anatomy 0.000 title claims description 27
- 210000002414 leg Anatomy 0.000 claims description 100
- 238000011282 treatment Methods 0.000 claims description 22
- 238000005096 rolling process Methods 0.000 claims description 7
- 230000001133 acceleration Effects 0.000 claims description 4
- 230000005540 biological transmission Effects 0.000 claims description 2
- 238000011161 development Methods 0.000 description 14
- 210000002683 foot Anatomy 0.000 description 9
- 230000002265 prevention Effects 0.000 description 9
- 235000004443 Ricinus communis Nutrition 0.000 description 6
- 240000000528 Ricinus communis Species 0.000 description 5
- 230000003449 preventive effect Effects 0.000 description 5
- 210000001624 hip Anatomy 0.000 description 4
- 210000003423 ankle Anatomy 0.000 description 3
- CNQCVBJFEGMYDW-UHFFFAOYSA-N lawrencium atom Chemical compound [Lr] CNQCVBJFEGMYDW-UHFFFAOYSA-N 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 230000003068 static effect Effects 0.000 description 3
- 238000013459 approach Methods 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 230000000284 resting effect Effects 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 239000000834 fixative Substances 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000036316 preload Effects 0.000 description 1
- 238000002203 pretreatment Methods 0.000 description 1
- 238000011321 prophylaxis Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 230000001960 triggered effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0244—Hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0244—Hip
- A61H2001/0248—Hip by separating the legs laterally
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0119—Support for the device
- A61H2201/0138—Support for the device incorporated in furniture
- A61H2201/0142—Beds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0173—Means for preventing injuries
- A61H2201/0176—By stopping operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
- A61H2201/1215—Rotary drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/14—Special force transmission means, i.e. between the driving means and the interface with the user
- A61H2201/1481—Special movement conversion means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/14—Special force transmission means, i.e. between the driving means and the interface with the user
- A61H2201/1481—Special movement conversion means
- A61H2201/149—Special movement conversion means rotation-linear or vice versa
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1623—Back
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2203/00—Additional characteristics concerning the patient
- A61H2203/04—Position of the patient
- A61H2203/0425—Sitting on the buttocks
- A61H2203/0431—Sitting on the buttocks in 90°/90°-position, like on a chair
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2203/00—Additional characteristics concerning the patient
- A61H2203/04—Position of the patient
- A61H2203/0425—Sitting on the buttocks
- A61H2203/0437—Sitting on the buttocks with stretched legs, like in a bed
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2203/00—Additional characteristics concerning the patient
- A61H2203/04—Position of the patient
- A61H2203/0443—Position of the patient substantially horizontal
- A61H2203/0456—Supine
Definitions
- the invention relates to a system for the prevention and aftercare of hip joint patients.
- hip problems can occur in patients today. If these are diagnosed in good time and the diagnosis allows, targeted movement of the joint and muscles can have a preventive effect or at least alleviate the symptoms.
- hip joint surgery up to the replacement of a hip joint. After an appropriate intervention, the patient is usually followed up.
- Prevention and aftercare can be done through active movement, ie the patient moves his legs or joints himself. Often, however, the patient's active movement of the legs is limited or, at least temporarily, hardly possible in appropriate situations.
- passive approaches can be added, either to support or to replace the active movement, at least until the patient is able to move again.
- Mechanical aids can be used for passive movement, for example one or both legs of the patient.
- the invention provides a system for pre-treatment and post-treatment of hip joint patients, comprising: a first support element that can be moved in a first plane, on which at least one leg of the patient or the body of the patient can be supported and fixed; a second support element which can be moved in a second plane, on which the patient's body or at least one leg of the patient can be supported and fixed; wherein the first and the second support element are movable relative to one another; at least one first drive for moving at least a part of the first or at least a part of the second support element relative to the second or relative to the first support element from a first position to a second position and back again, both the first and the second position in the first Level or in the second level.
- the patient typically lies or sits on one of the two support elements.
- One or both of the patient's legs accordingly lie on the other of the two support elements.
- the leg in question belongs to the half of the patient's body that includes the hip joint to be treated before or after.
- the leg to be treated is also referred to below.
- the relationship between the leg and the hip joint to be treated should also be understood.
- the patient's leg to be treated essentially points in the distal direction. The relative movement of the two support elements relative to one another makes it possible to move the patient's leg or legs relative to his body or to move the patient's body relative to his legs.
- the first and / or the second support elements can comprise one or more parts, that is to say they can be constructed in several parts. At least one of the parts of the first and / or at least one of the parts of the second support element can be movable. In this way, a movement can be achieved, which essentially takes place in the first level or in the second level can. A back and forth movement between a first predefined position and a second predefined position can thereby be ensured.
- the positions can be changed, for example a leg can gradually be moved further outwards from the center of the body.
- Both support elements can also be moved in the course of a treatment, as a result of which great flexibility can be achieved.
- the first and / or the second support element can comprise at least one support point and one support; wherein the patient's leg or the patient's body can be placed and fixed on the support; wherein the support can touch the support point and can be movable relative to the support point in a translatory and / or rotary movement in the first or in the second plane; wherein the at least one first drive can be designed to move the support with respect to the support point from the first position to the second position and back again.
- the support point can be a fulcrum about which the support can be rotated.
- the patient can sit on a rotating chair that is rotatable about the pivot point.
- the first and / or the second support element can comprise a support surface and the support can comprise lubricants or rolling means with which the support can be slidable or rolling on the support surface.
- the underlay can additionally be provided on its underside, for example, with a lubricious layer or film or plate as a lubricant or rollers as a rolling agent.
- the friction for example static friction, sliding friction or rolling friction, of the support compared to the support surface can thus be reduced, so that the support can be moved more easily on the support surface. This means that as little kinetic energy as possible is lost due to friction on the contact surface.
- the system can further comprise: at least one second drive for moving at least a part of the first or at least a part of the second support element relative to the second or relative to the first support element from a third Position in a fourth position and back again, both the third and the fourth position in the first level and in the second level.
- Two movements can thus take place, on the one hand with the aid of the first support element from the first to the second position and possibly back again, and on the other hand with the aid of the second support element from the third to the fourth position and possibly back again.
- Each of the two movements can be done independently of the other.
- One or both movements can be stopped if necessary. If one of the two movements is stopped, the other movement can continue.
- the first and / or the second support element can comprise a fixing element which is designed to fix the patient's leg on the first and on the second support element, respectively.
- the second drive can move the first or the second support element relative to the second or relative to the first support element such that the movement between the third and fourth positions essentially in the direction of the longitudinal axis of the leg or in the direction of the longitudinal axis of the upper body of the Patient.
- the movement of the first support element relative to the second support element can typically take place in such a way that the leg to be treated is carefully moved away from the patient's body.
- An extension force / tensile force can be built up.
- the first and / or the second support element can be locked so that a position once found can be held with a corresponding extension force.
- the extension force / tensile force typically acts along the leg, ie in the direction of the patient's leg axis, in such a way that the patient's hip joint to be treated can be relieved.
- the first drive can be designed in the system to control the movement path and / or the amplitude and / or the speed of the movement and / or the acceleration of the first or the second support element.
- the second drive can be designed in the system to control the movement path and / or the amplitude and / or the speed of the movement and / or the acceleration of the first or of the second support element.
- the first and / or the second drive can each comprise a control unit, for example a computer. However, a central control unit can also be present in the system. It is also possible to connect an external control unit to the system.
- One or more of the following movement parameters can be controlled and monitored, for one or both drives: movement path, movement speed, change in movement speed, amplitude / deflection of the movement in the respective plane, predefined forces and duration of the movement. Changes to one or more of these movement parameters can be carried out at intervals, that is, for a predefined period of time corresponding to a predefined number of movements. This allows a great variability and adaptability of the system with regard to the specific conditions for the user / patient to be achieved.
- the system can therefore also be used at different times and phases, for example in the early phases of the treatment or also in the more advanced phases of the treatment.
- the system can thus be used for prophylaxis and / or for pre- and / or postoperative treatment.
- the first drive and / or the second drive can be a manual and / or an electromechanical drive and / or a drive by means of force generation by spring preload, and / or pneumatic and / or hydraulic force generation and / or by force generation by means of own weight and / or by weights.
- the different types of drive for the first and / or the second drive allow a desired extension force to be preset and applied in a simple and effective manner.
- the preset extension force or tensile force can thus be kept practically constant or can be specifically varied during operation.
- a suitable drive type for the first and / or the second drive can be selected.
- the first and / or the second support element can comprise at least one guide means, wherein the support can be movable along the guide means.
- the support can be moved in a controlled manner, that is to say guided, along a guide means, for example a guide rail or a guide rod or a guide groove.
- a guide means for example a guide rail or a guide rod or a guide groove.
- the support can comprise a slide that can be moved along the guide rail.
- the first or the second drive can be provided on or on the support in such a way that the first or the second drive can / can move with the support.
- the first or the second drive can move the support via a force transmission means, for example a drive belt or a chain.
- the first and / or the second support element can comprise a first guide means and a second guide means, the support being movable along the first guide means and along the second guide means in the first and in the second plane and the movement of the support along the first guide means substantially perpendicular to the movement along the second guide means; wherein the first drive is designed to move the support along the first guide means and further with a third drive which is configured to move the support along the second guide means.
- the support can be moved to the desired, predetermined coordinates, in particular Cartesian coordinates (x, y), by means of the first and the second guide means, which are provided perpendicular to one another.
- the movements in the x direction or y direction can thus be decoupled.
- the movement can take place automatically by means of the drives.
- the type and design of the third drive can correspond to the first drive or the second drive.
- the system can further comprise at least one control unit which can be designed to control the at least one first drive and / or the at least one second drive and / or the third drive and which can be designed to be used when the first and / or to monitor the forces occurring in the second support element and, if predefined tolerances and / or predefined maximum values of the forces are exceeded Switch off movement and relax the forces; and the system may further include an emergency shutdown that may relax forces upon intervention by the patient or a caregiver.
- at least one control unit which can be designed to control the at least one first drive and / or the at least one second drive and / or the third drive and which can be designed to be used when the first and / or to monitor the forces occurring in the second support element and, if predefined tolerances and / or predefined maximum values of the forces are exceeded Switch off movement and relax the forces; and the system may further include an emergency shutdown that may relax forces upon intervention by the patient or a caregiver.
- a safety shutdown can either be implemented separately and, for example, be independent of the control unit or be integrated in the control unit.
- the safety shutdown can switch off the rotary or translational movement instantly if predefined maximum values of speed, amplitude, forces, extension force or frequency are exceeded.
- Shutdown can also take place if deviations from the preset parameters, that is to say fluctuations, become greater than predefined tolerances allow.
- the shutdown can also be triggered by the patient himself if the patient does not feel comfortable during the treatment.
- the forces can be relaxed or completely switched off during a safety shutdown.Thus, the passive burden on the patient can be quickly reduced to practically zero and the treatment can be continued as soon as the parameters of the system or the patient's needs have been checked or the patient with the Want to continue treatment.
- the control unit and / or the safety shutdown can be provided electromechanically in the system and / or comprise a computer.
- the first support element can be a bed and the support of the second support element can be movable on the bed, the bed and the second support element forming a unit.
- the Figure 1 shows a first embodiment of a system for preventive and follow-up care of hip joint patients.
- a patient P lies on a first support element 11.
- the support element 11 can be designed as a bed or bed.
- a leg B of the patient P lies on a further, second support element 13.
- the right leg B of the patient P is shown.
- the left leg of patient P could also have been considered for all the exemplary embodiments shown.
- the patient's hip to be treated is the right hip. Accordingly, it would be the left hip for the left leg.
- the second support element 13 can, as in Figure 1 indicated, be shaped so that it can accommodate the patient's leg B and leg B can rest sufficiently firmly on or in the second support element 13 and can also enable the patient P to be as comfortable as possible.
- the second support element 13 is movably provided on the first support element 11.
- the second support element 13 lies practically on the first support element 11.
- the surface of the first support element 11 can be prepared for a movement of the support element 13, so that the second support element 13 can slide or roll on the surface of the first support element 11.
- the second support element 13 can, as indicated by arrows 15, be moved with the leg B resting on it essentially in the plane of the surface of the first support element 11. In particular, it can be moved from a first position to a second position and back again.
- the first and second positions can each be predefined positions. However, the positions can be changed during treatment.
- the movement of the second support element 13, on which the leg B rests, can typically be carried out carefully from the center of the body to the outside. As a result, leg B and thus the corresponding hip joint of the patient can be moved as part of a therapy.
- the second support element 13 can be moved by means of a drive (not in Figure 1 shown).
- the Figure 2A shows a further embodiment of a system for preventive and follow-up care of hip joint patients.
- Figure 2B is a detailed view from the Figure 2A shown.
- the support 21A is placed on a support point 21C on the support support 21B and can be rotated about the support point 21C.
- the patient P does not lie on a couch, but lies or sits on or in a support element 21.
- the support element 21 has in the Figure 2A the shape of a chair, such as a treatment chair.
- the treatment chair 21 comprises a support 21A and a support point 21C and / or a support support 21B.
- the pad 21A contacts the pad point 21C at the tip of the pad post 21B.
- the support bracket 21B can be columnar or frustoconical.
- the leg B of the patient P lies on a support element 23.
- the support element 23 can be adjustable in height. The distance between the support element 23 and the treatment chair 21 can also be adjustable.
- the support 21A can be rotated in relation to the support point 21C of the support support 21B.
- the support point 21C is a fulcrum about which the support 21A is rotatable.
- the movement of the support 21A with respect to the support point 21C of the support support 21B is indicated by the arrows 25.
- the movement can take place again from a first position to a second position and back again.
- the first and second positions can each be predefined positions.
- the rotational movement of the support 21A with respect to the support point 21C of the support support 21B can be done by a drive.
- the drive can be provided in the support 21B.
- FIG 3 A further development of a system 30 for the prevention and aftercare of hip joint patients is shown.
- the Figure 3 is based on that in the Figure 1 shown embodiment.
- a patient P lies on a first support element 31, which can comprise a couch, for example.
- the leg B of the patient P rests on a support element 33.
- the reference numeral 35 designates arrows which indicate a movement of the support element 33 in the plane of the surface of the first support element 31.
- an arrow 37 is shown.
- An extension force / tensile force can be built up on the leg by moving the element 33 in the indicated arrow direction of the arrow 37.
- the extension force typically acts along the leg in the direction of the patient's leg axis P.
- the hip joint of the patient P to be treated can be relieved.
- the force to be applied is a static force. That is, this force is typically held while movement of the support member 33 is carried out in the direction indicated by the arrows 35.
- FIG 4 is a further development of the embodiment according to the Figures 2A and 2 B shown with different directions of movement.
- a treatment chair 41 which is the treatment chair 21 from the Figures 2A and 2 B can correspond.
- the patient P lies on a support 41A which touches a support point of a support bracket 41B.
- the support 41B can be made of the support 21B Figure 2 correspond.
- the point of contact (in Figure 4 not shown) can be the point of contact Figure 2B correspond.
- the leg B of the patient P is placed on a support element 43.
- the treatment chair 41 is rotatable with respect to the point of contact of the support bracket 41B. The rotational movement is indicated by the arrows 45.
- a movement of the support element 43 is indicated by the arrow 47.
- the movement of the support element 43 in the direction of the arrow 47 typically takes place along the leg axis of the patient P away from the body of the patient P.
- an extension force can thus be applied to leg B of patient P.
- Leg B can be suitably fixed on support element 43, for example with the aid of an ankle cuff or ankle cuff.
- the extension force which is indicated by the arrow 47, can be held while the movement of the treatment chair, which is indicated by the arrows 45, can be carried out.
- the patient's hip joint to be treated can thus again be relieved by the applied extension force while the movement is carried out in accordance with the arrows 45.
- FIG 5 is a further development of the system according to the first embodiment Figures 1 and 3 shown.
- a system 50 for pre- and post-treatment of hip joint patients is shown. Similar to the Figures 1 and 3rd Patient P lies on a support element 51. Leg B of patient P lies on a further support element 53. This support element is in Figure 5 but supported separately, for example (not shown here). A support can, for example, as in the Figures 2 or 4th be provided. A movement of the further support element 53 is indicated by the arrows 55. This is again a movement of the leg B of the patient P in the plane of the element 51.
- the element 51 is in Figure 5 divided practically horizontally into two parts. The element 51 comprises an upper part 51A and a lower part 51B.
- the patient lies on the surface of the upper part 51A.
- the upper part 51A is movable relative to the lower part 51B.
- the surface 51A can be moved substantially horizontally relative to the lower part of the element 51, which is designated by the reference symbol 51B. The movement can essentially take place in the direction of the longitudinal axis of the patient's upper body.
- At least the upper part 51A of the support element 51 is moved away from the support element 53 in the direction of the arrow 57.
- Leg B of patient P rests on support element 53 and is typically fixed there.
- a tensile force can be applied to the leg to be treated and thus to the hip joint to be treated.
- the hip joint of patient P can be relieved with the help of the tensile force / extension force.
- the support element 53 can be moved independently of the movement of the upper part 51A of the support element 51, as indicated by the arrows 55.
- the movement of the leg B carried out with the aid of the support element 53 is essentially independent of the tensile force applied to the leg B with the aid of the support element 51.
- the Figure 6 shows a further embodiment of a system 60 for preventive and follow-up care of hip joint patients.
- the patient sits in an upright position on the element 61.
- the patient's legs essentially point downwards.
- the patient practically takes a standing position.
- the patient with the leg that is not to be treated can rest on a base element 61A.
- the leg B to be treated is received by a support element 63.
- the support element 63 can be moved outwards according to the arrows 65 from the center of the patient's body.
- a drive 68 can be used, which can enable a rotary movement about a pivot point 68P.
- weights 69 shown on the outside of the element.
- the weights 69 can exert a tensile force on the patient's leg B to be treated due to their own weight.
- leg B is typically suitably fixed in support element 63.
- the tensile force can act essentially along the patient's leg axis.
- the tensile force acts essentially independently of the movement of the support element 63, which is indicated by the arrows 65.
- the traction is essentially is a static force and is held while the movement, which is substantially perpendicular thereto, of the element 63 can be carried out.
- FIG 7A is a further development of the system according to the Figures 1 and 3rd shown.
- a system 70 for preventive and follow-up care of hip joint patients A patient P lies on a first support element 71.
- the leg B which is to be treated in the course of the treatment, lies on a further support element 73.
- the support element 73 comprises a support 73A and a support surface 73B.
- the support surface 73B is shown as being placed on the support element 71.
- the support surface 73B can also represent a table surface, as exemplified in FIGS Figures 8A , 9 , 10A and 11A is shown.
- a guide means 79 is shown on the support surface 73B.
- the guide means 79 has teeth, so that it can be used as a toothed rack for a drive.
- Leg B of patient P lies on a support 73A.
- the pad 73A can in turn be suitably molded onto the shape of the patient's leg B.
- a drive 78 is provided on the support 73A.
- the drive 78 includes a gear 78A, for example.
- the gear 78A of the drive 78 is designed such that it can mesh with the rack 79A of the guide means 79.
- the pad 73A is movably provided on the pad 73B.
- the drive 78 can engage the gear 78A in the rack 79A and move the support 73A in the plane of the support surface 73B.
- Figure 7A also shows a holding element 76 with an element 76A movable in the holding element. These elements are in Figure 7B explained further.
- FIG. 7B 10 is a detailed view of the embodiment of system 70 of FIG Figure 7A shown.
- Leg B of patient P rests on support 73A.
- the drive 78 can move the support 73 along the guide means 79 by means of the gear 78A.
- the gear 78A of the drive meshes with the rack 79A.
- the drive can be a manual or an electromechanical drive.
- Element 76 includes an ankle cuff 76F and, for example, a support rod 76A.
- this handrail is configured such that the foot cuff can be attached to the handrail 76A.
- the support rod 76A can be inserted in a piston-like manner in a cylinder 76B.
- Element 76 may further include a drive. This allows the support rod 76A to be moved hydraulically or pneumatically. By applying a hydraulically or pneumatically generated force, a tensile force can be exerted on the leg B via the holding rod 76A can be transmitted if the leg B is fixed to the support rod 76A with the foot cuff 76F. It is also possible to generate an extension force with weights or own weights, as in Figure 6 explained in more detail.
- FIG 8A is a further development of the system according to the Figures 1 and 3rd outlined.
- the system 90 for pre- and post-treatment of hip joint patients as in Figure 8A shown is a variant of the drive from the Figures 7A and 7B shown.
- the structure shown essentially shows that in Figure 7A shown construction.
- the patient P lies on a support element 91.
- the leg B to be treated lies on a further support element 93.
- the support element 93 is designed, for example, like a table with table legs with rollers 93L.
- a support 93A is movably provided on a support surface 93B of the support element 93.
- a guide means 99 is similar to the guide means 79 in FIG Figure 7A and 7B arched.
- a drive 98 is provided on the pad 93A and is as in FIG Figure 7A and 7B moved with the edition 93A.
- a holding element 96 with a holding rod 96A corresponds to the holding element 76 and the element 76A Figure
- the drive 98 has a gear 98A which drives a toothed belt 99A.
- the toothed belt 99A is connected to the guide means 99. It runs around one or more deflection rollers 93C.
- the gear 98A By driving the gear 98A, the driving force of the drive 98 is transmitted to the toothed belt and thus to the guide means 99.
- the pad 93A is moved in the plane of the surface of the table 93B.
- a pulling force can be applied again by means of the holding element 96.
- An electric, pneumatic or hydraulic drive can be used, as in Figure 7A and 7B shown. It is also possible to provide a drive with springs or weights.
- FIG 9 shows a further development of the system for the prevention and aftercare of hip joint patients according to Figure 8A .
- system 90 'is shown system 90 'is similar to system 90 Figure 8A .
- couch 91 shown is in Figure 9 Not shown. It goes without saying that the lounger is made of Figure 8A for a system 90 'as in Figure 9 shown, can be used.
- a table 93 ' is shown which is similar to table 93 of Figure 90A.
- the table 93 ' can be placed on a bed 91 or on a corresponding support element such as a bed. In particular, the table can be pushed over at least part of the bed 91 so that a table top plate 93B 'is above the bed surface of the bed.
- the table 93 ' is provided with swivel castors 93L on its legs.
- the swivel castors 93L can be rotated through 360 °.
- the table 93 'can be moved up and positioned as desired on a bed, a bed or a suitable support element.
- the swivel castors 93L can be locked.
- the table 93 'can thus be locked in a certain position.
- the table 93 'can be adjustable in height to match the height of the bed 93 Figure 8A or to be adapted to the additional height of a patient lying on the couch 93.
- the table 93 'in Figure 9 includes platen 93B '.
- the support plate 93B ' is typically fixed on a frame.
- a support surface 93C' is shown on the support plate 93B '. This can be fixed in relation to the support plate 93B '.
- the bearing surface 93C ' is similar in shape to a section from a circular ring.
- a guide means 99 is provided on the support surface 93C ', which guides the guide means 99 from the Figures 8A and 8B corresponds.
- the guide means 99 is in Figure 9 formed in the form of a guide rail.
- a support 93A ' is provided on the support surface 93C'.
- the pad 93A 'can slide or roll along the guide means with a castor.
- the pad 93A 'can slide or roll on the pad 93C'.
- the support surface 93C 'can have rollers on its underside with which it contacts the support surface 93C'.
- a drive 98 is shown.
- the drive 98 can move the support 93A 'by means of a toothed belt, cf. Figure 8B .
- the drive is provided on the support 93A ', so that the drive 93A' follows the movement of the support 93A '. For example, a movement of the support 93A 'relative to the support surface 93C' can take place continuously.
- the support 93A ' comprises guides 93F' which hold a support plate 93P1, 93P2.
- the support plate 93P1, 93P2 can be made in several parts. In the example shown in Figure 9 the platen includes a knee pad 93P2 and a foot pad 93P1.
- the support plate 93P1, 93P2 can be displaced perpendicular to the guide means 99 in order to be able to adapt the support to the leg B of the patient P.
- Figure 9 also shows a support bar 96A 'as a fixative.
- a foot cuff can be attached to it, which can be attached to the patient's foot.
- a control and monitoring unit (not shown), for example a computer or control device, can control the movement of the drive 98 in accordance with a predetermined program, so that the movement of the support 93A 'and thus of the patient's leg lying on it can be carried out repeatedly is.
- the control and monitoring unit can control and change the amplitude of the movement of the support and / or the frequency of the movement of the support 93A ', for example according to a predetermined treatment plan.
- FIGS Figures 10A and 10B is a further development of the system according to Figures 1 and 3rd shown.
- the patient P lies on a first support element 81.
- the leg B to be treated lies on a second support element 83.
- the second support element 83 comprises a support surface 83B, which is part of a table that approaches the first support element 81 can be rolled.
- the table corresponds to the table as in Figure 8A shown.
- the table has legs with castors 83L.
- a support 83A is movably provided on the support surface 83B.
- the pad 83A may be adapted to a shape of a leg.
- a guide means 89 is provided in the form of a guide rod.
- This guide rod 89 is essentially straight.
- a drive 88 enables the support 83A to move along the guide rod 89.
- the guide rod 89 guides the support 83A substantially linearly in the plane of the support surface 83B.
- a suitable translatory movement for moving the leg B of the patient P can thus be provided.
- the drive is in Figure 10B explained in more detail.
- the support 83A shown has a groove or elongated hole 83L in its front part.
- a guide body 89A is provided on the rod 89.
- This guide body 89A has a pin 89B which engages in the groove or the elongated hole 83L.
- the drive 88 can drive the guide body 89, for example, by means of a thread.
- the guide rod 89 can be designed as a threaded rod.
- the guide body 89A is moved along the guide rod 89.
- the drive 88 is provided stationary on the side of the table.
- FIGS Figures 11A and 11B are a further development of the system according to Figures 1 and 3rd shown.
- the embodiment in the Figures 11A and 11B is similar to the embodiment shown in FIGS Figures 10A and 10B is shown.
- the Figures 11A and 11B shows a system 100 for the prevention and aftercare of hip joint patients, which has an alternative drive in comparison to the drives that the Figures 7A , 7B , 8A , 8B , 9 , 10A and 10B are shown by way of example.
- the patient lies down P on a first support element 101.
- the leg B to be treated lies on a second support element 103.
- the second support element 103 comprises a support surface 103B which is part of a table.
- the table can be rolled up to the first support element 101.
- the table corresponds to the table as in Figure 10A shown.
- the table includes table legs with 103L castors.
- a support 103A is movably provided on the support surface 103B.
- the pad 103A may be adapted to a shape of a leg.
- a guide means 109 is provided in the form of a guide rod. This guide rod 109 is essentially straight.
- Another guide rod 111 is provided essentially parallel to the guide rod 109.
- the guide rods 109 and 111 guide the support 103A substantially linearly in the plane of the support surface 103B.
- a suitable translatory movement for moving the leg B of the patient P can thus be provided.
- a drive 108 enables the support 103A to be moved along the guide rods 109 and 111.
- the support 103A is not provided directly on the guide rods 109 and 111, but is provided on a further guide means 112.
- the guide means 112 comprises, for example, a frame 112R and a guide rod 112S.
- the guide rod 112S is provided substantially perpendicular to the two guide rods 109 and 111.
- the guide rods 109 and 111 are suitably connected to the guide means 112. For example, they run guide rods 109 and 111 through frame 112R.
- the support 103A is suitably connected to the guide rod 112S so that the support 103A is movable by means of the guide rod 112S.
- pad 103A is connected to guide rod 112S at at least one point 112F with a suitable fastener.
- Movement by means of the guide rod 112S is indicated by arrow 110P in FIGS Figures 11A and 11B indicated.
- the other movement (ie perpendicular to the first movement 110P) by means of the guide rods 109 and 111 is indicated by the arrow 108P.
- the two directions of movement are perpendicular to each other in this plane.
- the two directions of movement, which are indicated by the arrows 108P and 110P are decoupled by the construction used with the aid of the guide rods 109 and 111 on the one hand and the guide rod 112S on the other.
- the arrows 108P and 110P can be identified, for example, with x and y coordinates or coordinate axes.
- the guide means 112 can comprise a drive 110.
- the guide rod 112S can be driven by the drive 110.
- the drive 110 can be provided similar to the drive 108.
- the drive 110 is not moved when the support 103A is moved in the direction of the arrow 110P by means of the guide rod 112S.
- the guide means 112 is also moved when the support 103A is moved by means of the guide rods 109 and 111.
- FIG 11A is also similar to that in the Figures 7A , 7B , 8A , 8B , 10A and 10B a foot cuff 106F is shown.
- the foot cuff can be suitably attached to a handrail (not shown).
- the foot cuff can be hung over the handrail.
- a drive can also be provided.
- the holding rod can thus be moved hydraulically or pneumatically, for example.
- the direction of movement is indicated by arrow 106P.
- a tensile force can be transmitted to the leg B by means of the drive, provided the leg B is fixed to the support rod with the foot cuff 106F. It is also possible to generate an extension force with weights or own weights, as in Figure 6 explained in more detail.
- the drives 108 and 110 shown can be controlled by means of at least one control and control unit, for example a computer. It goes without saying that such a control and control unit can be combined with all the embodiments shown.
- the control and control unit can control each of the drives in all shown embodiments.
- the control and control unit can be integrated into the system and, for example, can be combined with one or more of the drives or as a separate unit that communicates with the drives via signal lines or wirelessly. It is also possible to use an external computer, for example a laptop, tablet PC or a suitable smartphone for control.
- the control and monitoring unit monitors the forces occurring during the movement of the leg, both for the movement of the support and for the extension force.
- at least one or more of the drives can include a safety shutdown. If forces occur during the movement of the leg that exceed predefined tolerances and / or predefined maximum values, the respective movement of the leg can be switched off automatically. The extension force can thus be relaxed and movement of the leg can either be stopped immediately or the leg can be carefully moved back to the starting position.
- the safety shutdown can also include an emergency button for the patient. If the patient feels, for example, the movement of his leg and / or the extension force as too stressful or painful, he can switch off the respective drives and the associated forces manually.
- a safety device for example a Emergency stop switch may be provided. For example, the patient can have a separate emergency stop button in hand or within reach. With the help of this emergency switch, the patient can independently switch off the drives quickly.
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
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- Prostheses (AREA)
Description
Die Erfindung betrifft ein System zur Vor- und Nachsorge von Hüftgelenkpatienten.The invention relates to a system for the prevention and aftercare of hip joint patients.
Es ist bekannt, dass heutzutage vielfältige Hüftprobleme bei Patienten auftreten können. Werden diese rechtzeitig diagnostiziert und lässt die Diagnose es zu, so kann gezielte Bewegung des Gelenks sowie der Muskulatur einen vorbeugenden Effekt erzielen oder zumindest die Beschwerden abmildern. Bei manchen Patienten kommt es jedoch zu Hüftgelenkoperationen bis hin zum Ersetzen eines Hüftgelenks. Nach einem entsprechenden Eingriff erfolgt in aller Regel eine Nachsorge des Patienten. Vorsorge wie Nachsorge können durch aktive Bewegung erfolgen, d.h. der Patient bewegt selbst seine Beine oder Gelenke. Häufig ist ein aktives Bewegen der Beine dem Patienten aber nur eingeschränkt oder in entsprechenden Situationen zumindest zeitweise kaum möglich. Hier können passive Ansätze hinzukommen, entweder zur Unterstützung oder als Ersatz der aktiven Bewegung, zumindest so lange, bis der Patient selbst wieder zu einer aktiven Bewegung in der Lage ist. Zur passiven Bewegung, beispielsweise eines oder beider Beine des Patienten können mechanische Hilfsmittel Verwendung finden. Dabei durchzuführende Bewegungsabläufe, bei denen beispielsweise ein Bein des Patienten in Verbindung mit dem Hilfsmittel steht, müssen für eine gewisse Zeit möglichst präzise durchgeführt werden. Beispielsweise können diese Bewegungsabläufe mehrfach wiederholt werden. Beispielsweise soll eine bestimmte, vorsichtige Bewegung eines Beines einige Minuten lang oder beispielsweise zwanzig Mal nacheinander durchgeführt werden und danach mit kleineren Änderungen der Bewegungsparameter erneut durchgeführt werden. Hinzu kommt, dass bei manchen Bewegungsabläufen eine vorsichtige Entlastung des betroffenen Gelenks wünschenswert ist, die zusätzlich zur Bewegung des Beines erfolgen sollte. Für eine Person, beispielsweise ein Masseur, die/der die Vor- oder Nachsorge am Patienten durchführt, ist es jedoch sehr schwierig, entlastende und/oder für das Gelenk aufbauende Bewegungen des Beines des Patienten manuell durchzuführen. Hier setzt das Gerät an. Die mögliche Variabilität des Gerätes bei gleichzeitiger Präzision und Sicherheit des Anwenders sind Probleme, die die vorliegende Erfindung lösen möchte.It is known that various hip problems can occur in patients today. If these are diagnosed in good time and the diagnosis allows, targeted movement of the joint and muscles can have a preventive effect or at least alleviate the symptoms. In some patients, however, there is hip joint surgery up to the replacement of a hip joint. After an appropriate intervention, the patient is usually followed up. Prevention and aftercare can be done through active movement, ie the patient moves his legs or joints himself. Often, however, the patient's active movement of the legs is limited or, at least temporarily, hardly possible in appropriate situations. Here passive approaches can be added, either to support or to replace the active movement, at least until the patient is able to move again. Mechanical aids can be used for passive movement, for example one or both legs of the patient. Movement sequences to be carried out in which, for example, one leg of the patient is connected to the aid, must be carried out as precisely as possible for a certain time. For example, these movements can be repeated several times. For example, a certain, careful movement of a leg should be carried out for a few minutes or, for example, twenty times in succession and then carried out again with minor changes in the movement parameters. In addition, it is desirable for some movements to relieve the affected joint carefully, which should be done in addition to moving the leg. However, it is very difficult for a person, for example a massage therapist, who carries out the preliminary or aftercare on the patient to carry out relieving movements and / or movements of the patient's leg that build up the joint. This is where the device comes in. The possible variability of the device at the same time Precision and user safety are problems that the present invention seeks to solve.
Diese Aufgabe wird durch ein System zur Vor- und Nachsorge von Hüftgelenkpatienten gemäß Anspruch 1 gelöst. Nachfolgend werden die Begriffe Vor- und Nachsorge einerseits sowie Vor- und Nachbehandlung andererseits synonym verwendet.This object is achieved by a system for the prevention and aftercare of hip joint patients according to
Die Erfindung stellt ein System zur Vor- und Nachbehandlung von Hüftgelenkpatienten bereit, umfassend: ein erstes Auflageelement, das in einer ersten Ebene bewegbar ist, auf dem wenigstens ein Bein des Patienten oder der Körper des Patienten lagerbar und fixierbar ist; ein zweites Auflageelement, das in einer zweiten Ebene bewegbar ist, auf dem der Körper des Patienten beziehungsweise wenigstens ein Bein des Patienten lagerbar und fixierbar ist; wobei das erste und das zweite Auflageelement relativ zueinander bewegbar sind; mindestens einen ersten Antrieb zum Bewegen wenigstens eines Teiles des ersten oder wenigstens eines Teiles des zweiten Auflageelementes relativ zum zweiten beziehungsweise relativ zum ersten Auflageelement von einer ersten Position in eine zweite Position und wieder zurück, wobei sowohl die erste als auch die zweite Position in der ersten Ebene beziehungsweise in der zweiten Ebene liegen.The invention provides a system for pre-treatment and post-treatment of hip joint patients, comprising: a first support element that can be moved in a first plane, on which at least one leg of the patient or the body of the patient can be supported and fixed; a second support element which can be moved in a second plane, on which the patient's body or at least one leg of the patient can be supported and fixed; wherein the first and the second support element are movable relative to one another; at least one first drive for moving at least a part of the first or at least a part of the second support element relative to the second or relative to the first support element from a first position to a second position and back again, both the first and the second position in the first Level or in the second level.
Es versteht sich, dass der Patient, also der Körper des Patienten, typischerweise auf einem der beiden Auflageelemente liegt oder sitzt. Eines oder beide der Beine des Patienten lagert/lagern entsprechend auf dem anderen der beiden Auflageelemente. Wird nur ein Bein betrachtet, so gehört das betrachtete Bein zu der Körperhälfte des Patienten, die das vor- oder nachzubehandelnde Hüftgelenk umfasst. Der Einfachheit halber wird nachfolgend auch von dem zu behandelnden Bein gesprochen. Damit soll der Zusammenhang zwischen dem Bein und dem zu behandelnden Hüftgelenk mit verstanden sein. Das zu behandelnde Bein des Patienten zeigt im Wesentlichen in distale Richtung. Die relative Bewegung der beiden Auflageelemente zueinander ermöglicht es, gezielt das oder die Beine des Patienten relativ zu seinem Körper zu bewegen oder aber den Körper des Patienten relativ zu seinen Beinen zu bewegen. Dabei können das erste und/oder das zweite Auflageelemente ein oder mehrere Teile umfassen, also mehrteilig aufgebaut sein. Dabei können jeweils wenigstens eines der Teile des ersten und/oder wenigstens eines der Teile des zweiten Auflageelementes bewegbar sein. Dabei kann eine Bewegung erreicht werden, die im Wesentlichen in der ersten Ebene oder in der zweiten Ebene erfolgen kann. Dadurch kann ein Hin- und Herbewegen zwischen einer ersten vordefinierten Position und einer zweiten vordefinierten Position gewährleistet werden. Die Positionen können veränderbar sein, beispielsweise kann ein Bein allmählich weiter von der Körpermitte nach außen bewegt werden. Im Rahmen einer Behandlung können auch beide Auflagelemente bewegt werden, wodurch eine große Flexibilität erzielt werden kann.It goes without saying that the patient, that is to say the patient's body, typically lies or sits on one of the two support elements. One or both of the patient's legs accordingly lie on the other of the two support elements. If only one leg is considered, the leg in question belongs to the half of the patient's body that includes the hip joint to be treated before or after. For the sake of simplicity, the leg to be treated is also referred to below. The relationship between the leg and the hip joint to be treated should also be understood. The patient's leg to be treated essentially points in the distal direction. The relative movement of the two support elements relative to one another makes it possible to move the patient's leg or legs relative to his body or to move the patient's body relative to his legs. The first and / or the second support elements can comprise one or more parts, that is to say they can be constructed in several parts. At least one of the parts of the first and / or at least one of the parts of the second support element can be movable. In this way, a movement can be achieved, which essentially takes place in the first level or in the second level can. A back and forth movement between a first predefined position and a second predefined position can thereby be ensured. The positions can be changed, for example a leg can gradually be moved further outwards from the center of the body. Both support elements can also be moved in the course of a treatment, as a result of which great flexibility can be achieved.
In dem System kann/können das erste und/oder das zweite Auflageelement jeweils wenigstens einen Auflagepunkt und eine Auflage umfassen; wobei das Bein des Patienten oder der Körper des Patienten auf der Auflage auflegbar und fixierbar sein kann; wobei die Auflage den Auflagepunkt berühren kann und gegenüber dem Auflagepunkt in einer translatorischen und/oder rotatorischen Bewegung in der ersten beziehungsweise in der zweiten Ebene bewegbar sein kann; wobei der mindestens eine erste Antrieb ausgebildet sein kann, die Auflage gegenüber dem Auflagepunkt von der ersten Position in die zweite Position und wieder zurück zu bewegen.In the system, the first and / or the second support element can comprise at least one support point and one support; wherein the patient's leg or the patient's body can be placed and fixed on the support; wherein the support can touch the support point and can be movable relative to the support point in a translatory and / or rotary movement in the first or in the second plane; wherein the at least one first drive can be designed to move the support with respect to the support point from the first position to the second position and back again.
In dem System kann der Auflagepunkt ein Drehpunkt sein, um den die Auflage drehbar sein kann.In the system, the support point can be a fulcrum about which the support can be rotated.
Beispielsweise kann der Patient auf einem rotierbaren Stuhl sitzen, der um den Drehpunkt drehbar ist.For example, the patient can sit on a rotating chair that is rotatable about the pivot point.
In dem System kann/können das erste und/oder das zweite Auflageelement eine Auflagefläche umfassen und die Auflage kann Gleitmittel oder Rollmittel umfassen, mit denen die Auflage auf der Auflagefläche gleitend oder rollend bewegbar sein kann.In the system, the first and / or the second support element can comprise a support surface and the support can comprise lubricants or rolling means with which the support can be slidable or rolling on the support surface.
Die Auflage kann zusätzlich an ihrer Unterseite beispielsweise mit einer gleitfähigen Schicht oder Folie oder Platte als Gleitmittel oder Rollen als Rollmittel versehen sein. Damit kann die Reibung, beispielsweise Haftreibung, Gleitreibung oder Rollreibung, der Auflage gegenüber der Auflagefläche verringert werden, so dass die Auflage sich auf der Auflagefläche einfacher bewegen lässt. Damit geht möglichst wenig Bewegungsenergie durch Reibung auf der Auflagefläche verloren.The underlay can additionally be provided on its underside, for example, with a lubricious layer or film or plate as a lubricant or rollers as a rolling agent. The friction, for example static friction, sliding friction or rolling friction, of the support compared to the support surface can thus be reduced, so that the support can be moved more easily on the support surface. This means that as little kinetic energy as possible is lost due to friction on the contact surface.
Das System kann weiterhin umfassen: mindestens einen zweiten Antrieb zum Bewegen von wenigstens eines Teils des ersten oder von wenigstens eines Teils des zweiten Auflageelementes relativ zum zweiten beziehungsweise relativ zum ersten Auflageelement von einer dritten Position in eine vierte Position und wieder zurück, wobei sowohl die dritte als auch die vierte Position in der ersten Ebene beziehungsweise in der zweiten Ebene liegen.The system can further comprise: at least one second drive for moving at least a part of the first or at least a part of the second support element relative to the second or relative to the first support element from a third Position in a fourth position and back again, both the third and the fourth position in the first level and in the second level.
Es können somit zwei Bewegungen erfolgen, und zwar zum einen mit Hilfe des ersten Auflageelementes von der ersten in die zweite Position und gegebenenfalls wieder zurück, zum anderen mit Hilfe des zweiten Auflageelementes von der dritten in die vierte Position und gegebenenfalls wieder zurück. Jede der beiden Bewegungen kann unabhängig von der anderen erfolgen. Eine oder beide Bewegungen können gegebenenfalls gezielt angehalten werden. Wird eine der beiden Bewegungen angehalten, kann die andere Bewegung weiterhin erfolgen.Two movements can thus take place, on the one hand with the aid of the first support element from the first to the second position and possibly back again, and on the other hand with the aid of the second support element from the third to the fourth position and possibly back again. Each of the two movements can be done independently of the other. One or both movements can be stopped if necessary. If one of the two movements is stopped, the other movement can continue.
In dem System kann/können das erste und/oder das zweite Auflageelement ein Fixierelement umfassen, das ausgebildet ist, das Bein des Patienten auf dem ersten beziehungsweise auf dem zweiten Auflageelement zu fixieren.In the system, the first and / or the second support element can comprise a fixing element which is designed to fix the patient's leg on the first and on the second support element, respectively.
Durch das Fixieren mit einem Fixierelement kann vermieden werden, dass das zu behandelnde Bein des Patienten wegrutscht oder abrutscht.By fixing with a fixing element, it can be avoided that the patient's leg to be treated slips or slips.
In dem System kann der zweite Antrieb dass erste oder das zweite Auflageelement relativ zum zweiten beziehungsweise relativ zum ersten Auflageelement derart bewegen, dass die Bewegung zwischen der dritten und der vierten Position im Wesentlichen in Richtung der Längsachse des Beines oder in Richtung der Längsachse des Oberkörpers des Patienten erfolgt.In the system, the second drive can move the first or the second support element relative to the second or relative to the first support element such that the movement between the third and fourth positions essentially in the direction of the longitudinal axis of the leg or in the direction of the longitudinal axis of the upper body of the Patient.
Die Bewegung des ersten Auflageelementes relativ zum zweiten Auflageelement kann typischerweise so geschehen, dass das zu behandelnde Bein vorsichtig vom Körper des Patienten weg bewegt wird. Dabei kann eine Extensionskraft / Zugkraft aufgebaut werden. Dabei können das erste und/oder das zweite Auflagelement arretierbar sein, damit eine einmal gefundene Position mit einer entsprechenden Extensionskraft gehalten werden kann. Die Extensionskraft/Zugkraft wirkt typischerweise entlang des Beines, also in Richtung der Beinachse des Patienten derart, dass das zu behandelnde Hüftgelenk des Patienten entlastet werden kann.The movement of the first support element relative to the second support element can typically take place in such a way that the leg to be treated is carefully moved away from the patient's body. An extension force / tensile force can be built up. The first and / or the second support element can be locked so that a position once found can be held with a corresponding extension force. The extension force / tensile force typically acts along the leg, ie in the direction of the patient's leg axis, in such a way that the patient's hip joint to be treated can be relieved.
In dem System kann der erste Antrieb ausgebildet sein, die Bewegungsbahn und/oder die Amplitude und/oder die Geschwindigkeit der Bewegung und/oder die Beschleunigung des ersten beziehungsweise des zweiten Auflageelementes zu steuern.The first drive can be designed in the system to control the movement path and / or the amplitude and / or the speed of the movement and / or the acceleration of the first or the second support element.
In dem System kann der zweite Antrieb ausgebildet sein, die Bewegungsbahn und/oder die Amplitude und/oder die Geschwindigkeit der Bewegung und/oder die Beschleunigung des ersten beziehungsweise des zweiten Auflageelementes zu steuern.The second drive can be designed in the system to control the movement path and / or the amplitude and / or the speed of the movement and / or the acceleration of the first or of the second support element.
Durch Vorwahl der Parameter der Bewegungen kann eine rotatorische oder translatorische Bewegung in der jeweiligen Ebene kontrolliert werden. Die Kontrolle kann im Hinblick auf die Auslenkung des Beines von der Körpermitte nach außen, sowie im Hinblick auf die Geschwindigkeit der Auslenkung und der Wiederholung der Bewegung geschehen. Es versteht sich, dass während dieser Bewegung die Extensionskraft und damit die Streckung des Beines aufrechterhalten werden kann. Der erste und/oder der zweite Antrieb können jeweils eine Steuereinheit, etwa einen Computer umfassen. Es kann aber ebenso eine zentrale Steuereinheit im System vorhanden sein. Ebenso ist es möglich, eine externe Steuereinheit dem System zuzuschalten. Es können ein oder mehrere der folgenden Bewegungsparameter gesteuert und kontrolliert werden, und zwar für einen oder beide Antriebe: Bewegungsweg, Bewegungsgeschwindigkeit, Änderung der Bewegungsgeschwindigkeit, Amplitude/Auslenkung der Bewegung in der jeweiligen Ebene, vordefinierte Kräfte sowie Dauer der Bewegung. Dabei können Änderungen eines oder mehrerer dieser Bewegungsparameter jeweils intervallweise durchgeführt werden, also für einen vordefinierten Zeitraum entsprechend einer vordefinierten Anzahl von Bewegungen. Dadurch kann eine große Variabilität und Anpassungsfähigkeit des Systems hinsichtlich der spezifischen Bedingungen für den Nutzer/Patienten erzielt werden. Das System lässt sich somit auch zu verschiedenen Zeiten und Phasen einsetzen, etwa bei frühen Phasen der Behandlung oder auch bei schon fortgeschrittenen Phasen der Behandlung. Somit kann das System zur Prophylaxe und/oder zur prä- und/oder zur postoperativen Behandlung eingesetzt werden.By preselecting the parameters of the movements, a rotary or translatory movement in the respective plane can be controlled. The control can take place with regard to the deflection of the leg from the center of the body to the outside as well as with regard to the speed of the deflection and the repetition of the movement. It goes without saying that the extension force and thus the extension of the leg can be maintained during this movement. The first and / or the second drive can each comprise a control unit, for example a computer. However, a central control unit can also be present in the system. It is also possible to connect an external control unit to the system. One or more of the following movement parameters can be controlled and monitored, for one or both drives: movement path, movement speed, change in movement speed, amplitude / deflection of the movement in the respective plane, predefined forces and duration of the movement. Changes to one or more of these movement parameters can be carried out at intervals, that is, for a predefined period of time corresponding to a predefined number of movements. This allows a great variability and adaptability of the system with regard to the specific conditions for the user / patient to be achieved. The system can therefore also be used at different times and phases, for example in the early phases of the treatment or also in the more advanced phases of the treatment. The system can thus be used for prophylaxis and / or for pre- and / or postoperative treatment.
In dem System kann / können erste Antrieb und/ oder der zweite Antrieb einen manuellen und/oder einen elektromechanischen Antrieb und/oder einen Antrieb mittels Krafterzeugung durch Federvorspannung, und/oder pneumatischer und/oder hydraulischer Krafterzeugung und/oder durch Krafterzeugung durch Eigengewicht und/oder durch Gewichte umfassen.In the system, the first drive and / or the second drive can be a manual and / or an electromechanical drive and / or a drive by means of force generation by spring preload, and / or pneumatic and / or hydraulic force generation and / or by force generation by means of own weight and / or by weights.
Durch die verschiedenen Arten des Antriebs für den ersten und/oder den zweiten Antrieb kann in einfacher und effektiver Weise eine gewünschte Extensionskraft voreingestellt und aufgebracht werden. Die voreingestellte Extensionskraft oder Zugkraft kann somit praktisch konstant gehalten werden oder während des Betriebs gezielt variiert werden. Eine geeignete Antriebsart für den ersten und/oder den zweiten Antrieb kann ausgewählt werden.The different types of drive for the first and / or the second drive allow a desired extension force to be preset and applied in a simple and effective manner. The preset extension force or tensile force can thus be kept practically constant or can be specifically varied during operation. A suitable drive type for the first and / or the second drive can be selected.
In dem System kann/können das erste und/oder das zweite Auflageelement wenigstens ein Führungsmittel umfassen, wobei die Auflage entlang des Führungsmittels bewegbar sein kann.In the system, the first and / or the second support element can comprise at least one guide means, wherein the support can be movable along the guide means.
Entlang eines Führungsmittels, beispielsweise einer Führungsschiene oder einer Führungsstange oder einer Führungsnut kann die Auflage kontrolliert bewegt, also geführt werden. Beispielsweise kann die Auflage einen Schlitten umfassen, der entlang der Führungsschiene bewegbar ist.The support can be moved in a controlled manner, that is to say guided, along a guide means, for example a guide rail or a guide rod or a guide groove. For example, the support can comprise a slide that can be moved along the guide rail.
In dem System kann/können der erste oder der zweite Antrieb an oder auf der Auflage vorgesehen sein, derart, dass sich der erste oder der zweite Antrieb mit der Auflage mit bewegen kann/können.In the system, the first or the second drive can be provided on or on the support in such a way that the first or the second drive can / can move with the support.
In dem System kann/können der erste oder der zweite Antrieb die Auflage über ein Kraftübertragungsmittel, beispielsweise einen Antriebsriemen oder eine Kette bewegen.In the system, the first or the second drive can move the support via a force transmission means, for example a drive belt or a chain.
In dem System kann/können das erste und/oder das zweite Auflagelement ein erstes Führungsmittel und ein zweites Führungsmittel umfassen, wobei die Auflage entlang des ersten Führungsmittels und entlang des zweiten Führungsmittels in der ersten beziehungsweise in der zweiten Ebene bewegbar ist und die Bewegung der Auflage entlang des ersten Führungsmittel im Wesentlichen senkrecht zur Bewegung entlang des zweiten Führungsmittels erfolgt; wobei der erste Antrieb ausgebildet ist, die Auflage entlang des ersten Führungsmittels zu bewegen, und ferner mit einem dritten Antrieb, der ausgebildet ist, die Auflage entlang des zweiten Führungsmittels zu bewegen.In the system, the first and / or the second support element can comprise a first guide means and a second guide means, the support being movable along the first guide means and along the second guide means in the first and in the second plane and the movement of the support along the first guide means substantially perpendicular to the movement along the second guide means; wherein the first drive is designed to move the support along the first guide means and further with a third drive which is configured to move the support along the second guide means.
Durch das erste und das zweite Führungsmittel, die senkrecht zueinander vorgesehen sind, kann die Auflage an gewünschte, vorgegebene Koordinaten gefahren werden, insbesondere kartesische Koordinaten (x,y) bewegt werden. Die Bewegungen in x-Richtung beziehungsweise y-Richtung können somit entkoppelt werden. Mittels der Antriebe kann die Bewegung automatisch geschehen. Der dritte Antrieb kann in Art und Ausbildung dem ersten Antrieb beziehungsweise dem zweiten Antrieb entsprechen.The support can be moved to the desired, predetermined coordinates, in particular Cartesian coordinates (x, y), by means of the first and the second guide means, which are provided perpendicular to one another. The movements in the x direction or y direction can thus be decoupled. The movement can take place automatically by means of the drives. The type and design of the third drive can correspond to the first drive or the second drive.
Das System kann ferner wenigstens eine Steuereinheit umfassen, die ausgebildet sein kann, den mindestens einen ersten Antrieb und/oder den mindestens einen zweiten Antrieb und/oder den dritten Antrieb zu steuern und die ausgebildet sein kann, die bei der Bewegung des ersten und/oder des zweiten Auflageelementes auftretenden Kräfte zu überwachen und bei Überschreiten von vordefinierten Toleranzen und/oder vordefinierten Maximalwerten der Kräfte die Bewegung abzuschalten und die Kräfte zu relaxieren; und das System kann ferner eine Notabschaltung umfassen, die auf Intervention des Patienten oder eines Betreuers die Kräfte relaxieren kann.The system can further comprise at least one control unit which can be designed to control the at least one first drive and / or the at least one second drive and / or the third drive and which can be designed to be used when the first and / or to monitor the forces occurring in the second support element and, if predefined tolerances and / or predefined maximum values of the forces are exceeded Switch off movement and relax the forces; and the system may further include an emergency shutdown that may relax forces upon intervention by the patient or a caregiver.
Bei einem passiven System, das von außen eine Bewegung mit einem Patienten, hier mit dem Bein des Patienten beziehungsweise mit dem Körper des Patienten, durchführt, sind Sicherheitsmaßnahmen wichtig, so dass keine Überbelastungen oder unkontrollierte Belastungen des Patienten auftreten können. Eine Sicherheitsabschaltung kann entweder separat ausgeführt sein und beispielsweise unabhängig von der Steuereinheit sein oder in die Steuereinheit integriert sein. Beispielsweise kann die Sicherheitsabschaltung die rotatorische oder translatorische Bewegung augenblicklich abschalten, wenn vordefinierte Maximalwerte an Geschwindigkeit, Amplitude, Kräften, Extensionskraft oder Frequenz überschritten werden. Ebenso kann eine Abschaltung erfolgen, wenn Abweichungen gegenüber den voreingestellten Parametern, also Schwankungen, größer werden als es vordefinierte Toleranzen erlauben. Die Abschaltung kann auch durch den Patienten selbst ausgelöst werden, wenn der Patient sich bei der Behandlung nicht wohl fühlt. Die Kräfte können bei einer Sicherheitsabschaltung relaxiert oder ganz abgeschaltet werden So kann die passive Belastung für den Patienten schnell praktisch auf null herunter gefahren werden und die Behandlung kann gegebenenfalls fortgesetzt werden, sobald die Parameter des Systems oder des Patientenbedarfs überprüft worden sind oder der Patient mit der Behandlung fortfahren möchte. In dem System können die Steuereinheit und/oder die Sicherheitsabschaltung elektromechanisch vorgesehen sein und/oder einen Computer umfassen.In the case of a passive system which performs a movement from the outside with a patient, here with the patient's leg or with the patient's body, safety measures are important so that no overloading or uncontrolled loading of the patient can occur. A safety shutdown can either be implemented separately and, for example, be independent of the control unit or be integrated in the control unit. For example, the safety shutdown can switch off the rotary or translational movement instantly if predefined maximum values of speed, amplitude, forces, extension force or frequency are exceeded. Shutdown can also take place if deviations from the preset parameters, that is to say fluctuations, become greater than predefined tolerances allow. The shutdown can also be triggered by the patient himself if the patient does not feel comfortable during the treatment. The forces can be relaxed or completely switched off during a safety shutdown.Thus, the passive burden on the patient can be quickly reduced to practically zero and the treatment can be continued as soon as the parameters of the system or the patient's needs have been checked or the patient with the Want to continue treatment. The control unit and / or the safety shutdown can be provided electromechanically in the system and / or comprise a computer.
In dem System kann das erste Auflageelement eine Liege sein und die Auflage des zweiten Auflageelementes auf der Liege bewegbar sein, wobei die Liege und das zweite Auflageelement eine Einheit bilden.In the system, the first support element can be a bed and the support of the second support element can be movable on the bed, the bed and the second support element forming a unit.
Weitere Merkmale und beispielhafte Ausführungsformen der vorliegenden Erfindung werden nachfolgend anhand der Figuren näher erläutert. Es versteht sich, dass die Ausführungsformen nicht den Bereich der vorliegenden Erfindung erschöpfen. Es versteht sich weiterhin, dass einige oder sämtliche der im Weiteren beschriebenen Merkmale auch auf andere Weise miteinander kombiniert werden können. Es zeigen:Further features and exemplary embodiments of the present invention are explained in more detail below with reference to the figures. It is understood that the embodiments are not exhaustive of the scope of the present invention. It goes without saying that some or all of the features described below can also be combined with one another in other ways. Show it:
- Figur 1:Figure 1:
- Skizze einer ersten Ausführungsform eines Systems zur Vor- und Nachsorge von Hüftgelenkpatienten.Sketch of a first embodiment of a system for the prevention and aftercare of hip joint patients.
- Figur 2A:Figure 2A:
- Skizze einer weiteren Ausführungsform eines Systems zur Vor- und Nachsorge von Hüftgelenkpatienten..Sketch of a further embodiment of a system for the prevention and aftercare of hip joint patients.
- Figur 2BFigure 2B
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Detailansicht des Systems aus
Figur 2A .Detailed view of the systemFigure 2A . - Figur 3:Figure 3:
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Skizze des Systems der ersten Ausführungsform gemäß
Figur 1 mit verschiedenen Bewegungsrichtungen.Sketch of the system according to the first embodimentFigure 1 with different directions of movement. - Figur 4:Figure 4:
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Skizze des Systems der zweiten Ausführungsform gemäß
Figur 2 mit verschiedenen Bewegungsrichtungen.Sketch of the system according to the second embodimentFigure 2 with different directions of movement. - Figur 5:Figure 5:
- Eine weitere Weiterbildung des Systems der ersten Ausführungsform gemäß Figuren 1 und 3.A further development of the system of the first embodiment according to FIGS. 1 and 3.
- Figur 6:Figure 6:
- Skizze einer weiteren Ausführungsform des Systems zur Vor- und Nachsorge von Hüftgelenkpatienten.Sketch of a further embodiment of the system for the prevention and aftercare of hip joint patients.
- Figur 7A:Figure 7A:
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Skizze einer weiteren Weiterbildung des Systems gemäß
Figuren 1 und3 .Sketch of a further development of the system according toFigures 1 and3rd . - Figur 7B:Figure 7B:
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Detailansicht des Systems aus
Figur 7A .Detailed view of the systemFigure 7A . - Figur 8A:Figure 8A:
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Skizze einer weiteren Weiterbildung des Systems gemäß
Figuren 1 und3 .Sketch of a further development of the system according toFigures 1 and3rd . - Figur 8B:Figure 8B:
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Detailansicht des Systems aus
Figur 8A .Detailed view of the systemFigure 8A . - Figur 9:Figure 9:
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Skizze einer weiteren Weiterbildung des Systems aus
Figur 8A .Sketch of a further development of the systemFigure 8A . - Figur 10A:Figure 10A:
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Skizze einer weiteren Weiterbildung des Systems gemäß
Figuren 1 und3 .Sketch of a further development of the system according toFigures 1 and3rd . - Figur 10B:Figure 10B:
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Detailansicht des Systems aus
Figur 10A .Detailed view of the systemFigure 10A . - Figur 11AFigure 11A
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Skizze einer weiteren Weiterbildung des Systems gemäß
Figuren 1 und3 .Sketch of a further development of the system according toFigures 1 and3rd . - Figur 11BFigure 11B
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Detailansicht des Systems aus
Figur 11A .Detailed view of the systemFigure 11A .
Die
Das zweite Auflageelement 13 kann, wie in
Das zweite Auflageelement 13 ist auf dem ersten Auflageelement 11 bewegbar vorgesehen. Dazu liegt das zweite Auflageelement 13 praktisch auf dem ersten Auflageelement 11. Die Oberfläche des ersten Auflageelementes 11 kann für eine Bewegung des Auflageelementes 13 präpariert sein, so dass das zweite Auflageelement 13 auf der Oberfläche des ersten Auflageelementes 11 gleiten oder rollen kann.The
Das zweite Auflageelement 13 kann, wie durch Pfeile 15 angedeutet, mit dem auf ihm aufliegenden Bein B im Wesentlichen in der Ebene der Oberfläche des ersten Auflageelementes 11 bewegt werden. Insbesondere kann es von einer ersten Position in eine zweite Position und wieder zurück bewegt werden. Die erste und zweite Position können jeweils vordefinierte Positionen sein. Die Positionen können während der Behandlung jedoch verändert werden. Die Bewegung des zweiten Auflageelementes 13, auf dem das Bein B aufliegt, kann typischerweise vorsichtig von der Körpermitte nach außen geschehen. Dadurch kann das Bein B und damit das entsprechende Hüftgelenk des Patienten im Rahmen einer Therapie bewegt werden.The
Das zweite Auflageelement 13 kann mittels eines Antriebs bewegt werden (nicht in
Die
In
In der
In
In
In
Die
In
In
Das Element 76 umfasst eine Fußmanschette 76F und beispielsweise eine Haltestange 76A. In Diese Haltestange ist beispielsweise derart ausgebildet, dass die Fußmanschette an der Haltestange 76A befestigt werden kann. Beispielsweise kann sie über die Haltestange gehängt werden. Die Haltestange 76A kann gegenüber der kolbenartig in ein in einem Zylinder 76B eingeführt werden. Das Element 76 kann ferner einen Antrieb umfassen. Damit kann die Haltestange 76A hydraulisch oder pneumatisch bewegt werden. Durch das Aufbringen einer hydraulisch oder pneumatisch erzeugten Kraft kann eine Zugkraft über die Haltestange 76A auf das Bein B übertragen werden, sofern das Bein B mit der Fußmanschette 76F an der Haltestange 76A fixiert ist. Es ist ebenso möglich, eine Extensionskraft mit Gewichten oder Eigengewichten zu erzeugen, wie in
In
In
Die
In dem System 90' in
Der Tisch 93' in
Auf der Auflagefläche 93C' ist eine Auflage 93A' vorgesehen. Die Auflage 93A' kann auf der Auflagefläche 93 entlang des Führungsmittels 99 in einer geführten Bewegung bewegt werden. Die Auflage 93A' kann mit einer Gleitrolle entlang des Führungsmittels gleiten oder rollen. Zusätzlich kann die Auflage 93A' auf der Auflagefläche 93C' gleiten oder rollen. Beispielsweise kann die Auflagefläche 93C' Gleitrollen an ihrer Unterseite besitzen, mit denen sie die Auflagefläche 93C' berührt. Ähnlich wie in
Die Auflage 93A' umfasst Führungen 93F', die eine Auflageplatte 93P1, 93P2 halten. Die Auflageplatte 93P1, 93P2 kann mehrteilig ausgeführt sein. Im gezeigten Beispiel in
In den
Die in
In den
In
In
Die in den
Es versteht sich, dass die Kontroll- und Steuereinheit die bei der Bewegung des Beines auftretenden Kräfte überwacht und zwar sowohl für die Bewegung der Auflage als auch für die Extensionskraft. Dabei können in Verbindung mit der Kontroll- und Steuereinheit wenigstens einer oder mehrere der Antriebe eine Sicherheitsabschaltung umfassen. Treten bei der Bewegung des Beines Kräfte auf, die vordefinierte Toleranzen und/oder vordefinierte Maximalwerte überschreiten, so kann die jeweilige Bewegung des Beines automatisch abgeschaltet werden. Somit kann die Extensionskraft relaxiert werden und eine Bewegung des Beines entweder sofort gestoppt werden oder das Bein kann vorsichtig in die Ausgangslage zurück bewegt werden. Ebenso kann die Sicherheitsabschaltung einen Notknopf für den Patienten umfassen. Empfindet der Patient beispielsweise die Bewegung seines Beines und/oder die Extensionskraft als zu belastend oder schmerzhaft, so kann er dadurch die jeweiligen Antriebe und die damit verbundenen Kräfte manuell abschalten. Dazu kann eine Sicherheitsvorrichtung, beispielsweise ein Notausschalter, vorgesehen sein. Der Patient kann beispielsweise einen separaten Notausschalter in die Hand oder in Reichweite bekommen. Mit Hilfe dieses Notausschalters kann der Patient somit selbständig eine Schnellabschaltung der Antriebe herbeiführen.It goes without saying that the control and monitoring unit monitors the forces occurring during the movement of the leg, both for the movement of the support and for the extension force. In connection with the control and control unit, at least one or more of the drives can include a safety shutdown. If forces occur during the movement of the leg that exceed predefined tolerances and / or predefined maximum values, the respective movement of the leg can be switched off automatically. The extension force can thus be relaxed and movement of the leg can either be stopped immediately or the leg can be carefully moved back to the starting position. The safety shutdown can also include an emergency button for the patient. If the patient feels, for example, the movement of his leg and / or the extension force as too stressful or painful, he can switch off the respective drives and the associated forces manually. A safety device, for example a Emergency stop switch may be provided. For example, the patient can have a separate emergency stop button in hand or within reach. With the help of this emergency switch, the patient can independently switch off the drives quickly.
Es versteht sich, dass in den zuvor beschriebenen Ausführungsbeispielen genannten Merkmale nicht auf diese speziellen Kombinationen beschränkt sind und auch in beliebigen anderen Kombinationen möglich sein können.It goes without saying that the features mentioned in the exemplary embodiments described above are not restricted to these special combinations and can also be possible in any other combinations.
Claims (13)
- A system (10, 20, 30, 40, 50, 60, 70, 80, 90, 90', 100) for pre- and post-treatment of hip joint patients, comprising:a first support element (11, 21, 31, 41, 51, 61) which is movable in a first plane, on which at least one leg (B) of a patient (P) or the remaining body of the patient (P) without the at least one leg (B) can be supported and fixed;a second support element (13, 23, 33, 43, 53, 63) which is movable in a second plane, on which the remaining body of the patient (P) without the at least one leg (B) or at least one leg (B) of the patient (P) can be supported and fixed;wherein the first and second support members are movable relative to each other; andat least one first drive for moving at least part of the first support element relative to the second support element or at least part of the second support element relative to the first support element each from a first position to a second position and back again, both the first position and the second position lying in the first plane or both lying in the second plane; such that the at least one leg of the patient is movable relative to the remaining body of the patient (P) without the at least one leg (B) or the remaining body of the patient (P) without the at least one leg (B) is movable relative to his/her legs;at least one second drive for moving at least part of the first support element relative to the second support element or at least part of the second support element relative to the first support element from a third position to a fourth position and back again;wherein the third and fourth positions are both lying in the first plane or the second plane;wherein the first plane corresponds to the plane of the surface of the first support member and the second plane corresponds to the plane of the surface of the second support member;wherein the second drive moves the first support member relative to the second support member or the second support member relative to the first support member such that the movement between the third and fourth positions occurs substantially in the direction of the longitudinal axis of the at least one leg or in the direction of the longitudinal axis of the upper part of the patient's body so that an extension force is built up along the leg;wherein during the movement of the at least one leg of the patient relative to remaining body of the patient (P) without the at least one leg (B), the extension force built up is maintained.
- The system according to claim 1,
wherein the first and/or second support members each comprise at least one support point (21C) and a support (21A, 41A, 73A, 83A, 93A, 93A', 103A);
wherein the at least one leg of the patient or the remaining body of the patient (P) without the at least one leg (B) can be placed and fixed on the support;
wherein the support (21A, 41A, 73A, 83A, 93A, 93A', 103A) contacts the support point (21C) and is movable relative to the support point (21C) in a translational and/or rotational movement in the first or second plane; and
wherein the at least one first drive (68, 78, 88, 98) is adapted to move the support (21A, 41A, 73A, 83A, 93A, 93A', 103A) relative to the support point (21C) from the first position to the second position and back again. - The system according to claim 2, wherein the support point is a pivot point about which the support can be pivoted.
- The system according to claim 2, wherein the first and/or the second support element comprise a support surface (73B, 83B, 93B, 93B') and the support comprises sliding or rolling means with which the support is movable on the support surface (73B, 83B, 93B, 93B') in a sliding or rolling manner.
- The system according to claim 1, wherein the first and/or second support member comprise a fixation member (76F) adapted to fix the at least one leg of the patient to the first or second support member, respectively.
- The system according to at least one of claims 1 - 5, wherein the first drive is adapted to control the path of movement and/or the amplitude and/or the speed of movement and/or the acceleration of the first or the second support element.
- The system according to at least one of claims 1 or 6, wherein the first drive is adapted to control the path of movement and/or the amplitude and/or the speed of movement and/or the acceleration of the first or the second support element.
- The system according to at least one of claims 1 - 7, wherein the first drive and/or the second drive comprise a manual and/or electromechanical drive and/or a drive by means of generation of force due to spring bias, and/or pneumatic and/or hydraulic force generation and/or by force generation due to own weight and/or by weights.
- The system according to at least one of claims 2 - 8, wherein the first and/or the second support element comprise at least one guide means, the support being movable along the guide means.
- The system according to claim 9, wherein the first or the second drive is provided at or on the support such that the first or the second drive moves with the support; or
wherein the first or second drive moves the support via power transmission means (99A) such as a drive belt or chain. - The system according to claim 9 or 10, wherein the first and/or the second support member comprise first guide means (109, 111) and second guide means (112, 112S), the support being movable along the first guide means (109, 111) and along the second guide means (112) in the first plane or otherwise in the second plane and the movement of the support (103A) along the first guide means (109, 111) being substantially perpendicular to the movement along the second guide means (112, 112S); wherein the first drive (108) is adapted to move the support (103A) along the first guide means (109, 111), and further comprising a third drive (110) adapted to move the support (103A) along the second guide means (112, 112S).
- The system (1) according to claim 11, further comprising at least one control unit adapted to control the at least one first drive and/or the at least one second drive and/or the third drive and which is adapted to monitor forces occurring during movement of the first and/or the second support element and to stop the movement and relax the forces when predefined tolerances and/or predefined maximum values of the forces are exceeded; and further comprising an emergency switch which can relax the forces upon intervention of the patient or a caregiver.
- The system (1) according to one of claims 2 - 12, wherein the first support element is a couch and the support of the second support element is movable on the couch so that the couch and the support form a unit.
Priority Applications (1)
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EP14170292.8A EP2949306B1 (en) | 2014-05-28 | 2014-05-28 | System for pre- and aftercare of hip joint patient |
Applications Claiming Priority (1)
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EP14170292.8A EP2949306B1 (en) | 2014-05-28 | 2014-05-28 | System for pre- and aftercare of hip joint patient |
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EP2949306A1 EP2949306A1 (en) | 2015-12-02 |
EP2949306B1 true EP2949306B1 (en) | 2020-08-05 |
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EP14170292.8A Active EP2949306B1 (en) | 2014-05-28 | 2014-05-28 | System for pre- and aftercare of hip joint patient |
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Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
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DE102015119395A1 (en) * | 2015-11-11 | 2017-05-11 | Universität Rostock | Movement track for mobilizing a knee joint and / or a hip joint |
CN106859920A (en) * | 2017-04-25 | 2017-06-20 | 洛阳理工学院 | A kind of multi-functional hip joint healing machine |
CN108771607B (en) * | 2018-06-13 | 2021-02-05 | 青岛大学附属医院 | Postpartum pelvic floor muscle repair training equipment |
CN112515917B (en) * | 2020-12-04 | 2022-07-22 | 吉林省前卫医院 | Be used for recovered automatic device of taking exercise of cerebral infarction patient low limbs |
Family Cites Families (10)
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US3060926A (en) * | 1961-02-06 | 1962-10-30 | William E Westcott | Therapeutic table |
US3661149A (en) * | 1970-05-27 | 1972-05-09 | Charles A Ferries | Mechanical exercising device |
DE4132818A1 (en) * | 1991-10-02 | 1993-04-08 | Knoll Ernst Feinmech | MOTION RAIL |
US5300090A (en) * | 1992-09-03 | 1994-04-05 | Challenge Machinery (Proprietary) Ltd. | Exercise machine |
JP4487054B2 (en) * | 1998-12-17 | 2010-06-23 | バイオフィリア研究所有限会社 | Lower limb function training device |
US6821288B2 (en) * | 2001-08-21 | 2004-11-23 | Dwight Schaeffer | Automated therapy table and method therefor |
JP4527929B2 (en) * | 2002-05-08 | 2010-08-18 | 衛 光石 | Reduction device |
GB2389533B (en) * | 2002-06-14 | 2004-11-03 | Hugo Broadbent | Stretching apparatus |
GB2446783A (en) * | 2007-02-24 | 2008-08-27 | Thomas Murdoch | Rehabilitation and exercise equipment |
US9901505B2 (en) * | 2010-12-03 | 2018-02-27 | David L Bombard | Continuous passive motion device |
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2014
- 2014-05-28 EP EP14170292.8A patent/EP2949306B1/en active Active
Non-Patent Citations (1)
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"Duden Deutsches Universalwörterbuch, 4. neu bearbeitete und erweiterte Auflage", 2001, DUDENVERLAG MANNHEIM, LEIPZIG, WIEN, ZÜRICH, pages: 284, XP055298146 * |
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