EP3134051B1 - Orthopädische positionierungsvorrichtung - Google Patents

Orthopädische positionierungsvorrichtung Download PDF

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Publication number
EP3134051B1
EP3134051B1 EP15725793.2A EP15725793A EP3134051B1 EP 3134051 B1 EP3134051 B1 EP 3134051B1 EP 15725793 A EP15725793 A EP 15725793A EP 3134051 B1 EP3134051 B1 EP 3134051B1
Authority
EP
European Patent Office
Prior art keywords
seat
supports
base
foam
wedges
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
Application number
EP15725793.2A
Other languages
English (en)
French (fr)
Other versions
EP3134051A1 (de
Inventor
Richard JUSZKIEWICZ
Edouard Juszkiewicz
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Recfrance
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Publication of EP3134051A1 publication Critical patent/EP3134051A1/de
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A61G5/1045—Cushions specially adapted for wheelchairs for the seat portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1091—Cushions, seats or abduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A61G5/124—Rests specially adapted therefor, e.g. for the head or the feet for pelvis or buttocks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00—Devices for specific treatment or diagnosis
    • A61G2210/10—Devices for specific treatment or diagnosis for orthopedics

Definitions

  • the present application relates to an orthopedic positioning device, in particular for a wheelchair adapted to the morphology of the user, the seated position of which is maintained in an anatomically correct position, so that it does not cause any fatigue phenomenon or produce any deformation of the the vertebral column likely to cause lordosis, kyphosis, pelvic tilt, pelvic obliquity, pelvic rotation or other skeletal deformities, or bedsores and allows seated postural stability and comfort.
  • the present application proposes a personalized seat quickly adjustable to the user.
  • the present application relates to a seat capable of being mass-produced and which, for most of the conformations of the seated position, has correct adaptation conditions from the orthopedic point of view. Said seat
  • the patent FR 2 737 433 proposes a process for the manufacture by molding of a seat, in particular of an orthopedic seat for the handicapped. This process makes it possible to match the morphology of the user.
  • the patent EP 1131030 proposes a manufacturing process by adding several inserts on top of each other, so that it corresponds to the morphology of the user.
  • Manufacturing methods comprising support zones covered with padding and with a pressure adjustment system.
  • the patent FR 2 536 975 describes seats in particular for motor vehicles with pressure adjustment systems on the lateral and dorsal supports of the human trunk.
  • the Carpenter Handipose kit offers different wedges to position the user.
  • the present invention as defined in claim 1, therefore relates to a method for producing a made-to-measure seat using an orthopedic positioning device which can be positioned easily and which offers a single seat for each user.
  • the invention provides various wedges, in particular pelvic wedges, abduction wedges and adduction wedges, stackable, positioned on predefined locations on a seat or base, the assembly being positioned on an adjustable fixing plate of front to back, characterized by the fact that these stackable elements promote good stability and allow better distribution of pressures at the seat-back interface.
  • These elements are used by the health professional, in particular an occupational therapist and a physiotherapist, to take measurements which are transmitted to the manufacturer who will mill the final seat in a block of reticulated foam with closed cells made of polyethylene or any other kind of foams. This block will then be covered with a cover promoting better hygiene for the user. The user will therefore obtain his unique seat.
  • the wedges may be used for other users by the healthcare professional.
  • the figure 1 represents a seat made of reticulated closed-cell foam made of square polyethylene measuring 400 mm long by 400 mm wide and 50 mm thick, with space provided for inserts at seat bone level (6 on the figure 1 ).
  • Three ergonomic adduction wedges 2 cm high each, stackable, secured by velcro, wedged at thigh level (3.4 on the figure 1 ) are placed on the square foam.
  • the dimensions of these ergonomic wedges will, for example, be 160 mm long each, flared by approximately 30° on the thigh side, with a width varying linearly from 50 mm at the base of the lowest wedge to 15 mm at the top of the highest wedge, and a radiated rear return to match the shape of the buttocks, to have a maximum width of 80 mm at the base of the lowest wedge, 45 mm at the top of the highest wedge.
  • Three ergonomic wedges each 2 cm high on the left, three ergonomic wedges each 2 cm high on the right, stackable, secured by Velcro, wedged at pelvic level, preventing lateral slippage and rotation of the pelvis (1,2 on the figure 1 ) are then placed on the square foam.
  • tilt wedges which are placed under the seat, under one of the four sides of the saloon. These wedges have different thicknesses. They allow tilting, either to the left, to the right, forwards or backwards of the entire seat. These wedges are positioned so that they occupy half of the base square 400 mm by 400 mm or 500 mm by 500 mm, i.e. 200 mm or 250 mm.
  • wedges of obliqueness coming to be put under the seat, under an angle of the square.
  • These wedges have different thicknesses, for example 20 mm, 40 mm or 60 mm. They allow the oblique inclination of the entire seat.
  • inserts positioned between the pelvic, adduction and abduction wedges.
  • These inserts may be made of foam, of viscoelastic polyurethane gel, of pneumatic cells with at least one inflation zone, or several inflation zones or with all types of materials or with all types of inserts making it possible to support the seat bones.
  • the measurements corresponding to the location of each of the elements will be sent to the manufacturer to mill a block of reticulated foam with closed cells made of polyethylene corresponding to the user.
  • This block of foam will then be covered by a cover whose part in contact with the user will be made of waterproof elastane fiber stretchable in length and width to ensure better hygiene and the part in contact with the device will be made of soft foam type polyether, high resilience polyurethane foam or 5 mm thick viscoelastic foam.
  • the invention will then be advantageously supplemented by a contouring backrest, hollowed out at the level of the spine to avoid the points of support and equipped with width-adjustable trunk wedges.
  • the invention will be installed on a fixing plate which is adjustable from front to back (7 on the figure 1 ).

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Claims (6)

  1. Verfahren zur Herstellung einer maßgefertigten Sitzfläche, dadurch gekennzeichnet, dass es die folgenden Schritte umfasst:
    - Bereitstellen einer orthopädischen Positionierungsvorrichtung, insbesondere für einen Rollstuhl, umfassend eine Sitzfläche oder Basis, die an einer von vorne nach hinten verstellbaren Befestigungsplatte befestigt ist, und verschiedene Keile, insbesondere Beckenkeile, Adduktionskeile und Abduktionskeile, wobei die Keile stapelbare Keile sind und an vordefinierten Stellen auf der Sitzfläche oder Basis positioniert werden und wobei die Keile ineinandergreifen und mit einem griffigen Stoff überzogen sind, der die Befestigung durch Klettverschluss ermöglicht, wobei Markierungen auf der Sitzfläche oder Basis sichtbar sind,
    - Positionieren der Keile auf der Sitzfläche oder Basis, um Maße davon abzuleiten,
    - Übertragen der auf der Sitzfläche oder Basis sichtbaren Markierungen sowie der gewählten Keile in ein Maßblatt, um die gewünschte Stelle zu ermitteln, und
    - Herstellen einer Sitzfläche aus Schaumstoff auf Basis der ermittelten Maße durch Fräsen eines Schaumstoffblocks.
  2. Verfahren nach Anspruch 1, dadurch gekennzeichnet, dass es ferner einen Schritt umfasst, bei dem ein Sitzbeinhöckereinsatz zwischen den Becken-, Adduktions- und Abduktionskeilen positioniert wird.
  3. Verfahren nach Anspruch 2, dadurch gekennzeichnet, dass es ferner einen Schritt umfasst, bei dem die maßgefertigte Sitzfläche mit einem an die verschiedenen Formen anpassbaren Schonbezug überzogen wird, wobei der Teil davon, der mit dem Benutzer in Kontakt kommt, aus wasserdicht gemachter Elasthanfaser besteht, die in der Länge und in der Breite dehnbar ist.
  4. Verfahren nach Anspruch 3, dadurch gekennzeichnet, dass es ferner einen Schritt umfasst, bei dem Drucksensoren an einem oder mehreren der Elemente angebracht werden.
  5. Verfahren nach Anspruch 2, dadurch gekennzeichnet, dass der Einsatz aus Schaumstoff, viskoelastischem Polyurethangel, Luftzellen mit mindestens einer Aufblaszone oder mehreren Aufblaszonen oder aus jeder Art von Material bestehen kann, das die Sitzbeinhöcker stützen kann.
  6. Verfahren zur Herstellung eines Sitzes, dadurch gekennzeichnet, dass es Folgendes umfasst:
    - ein Verfahren zur Herstellung einer Sitzfläche nach Anspruch 5, und
    - einen Schritt, bei dem eine formbare Rückenlehne hinzugefügt wird, die durch ein verstellbares System von Rumpfkeilen so weit wie möglich an die Form des Rückens angepasst werden kann.
EP15725793.2A 2014-04-25 2015-04-23 Orthopädische positionierungsvorrichtung Active EP3134051B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1453772A FR3020268B1 (fr) 2014-04-25 2014-04-25 Dispositif de positionnement orthopedique
PCT/FR2015/051114 WO2015162391A1 (fr) 2014-04-25 2015-04-23 Dispositif de positionnement orthopedique

Publications (2)

Publication Number Publication Date
EP3134051A1 EP3134051A1 (de) 2017-03-01
EP3134051B1 true EP3134051B1 (de) 2022-01-19

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP15725793.2A Active EP3134051B1 (de) 2014-04-25 2015-04-23 Orthopädische positionierungsvorrichtung

Country Status (3)

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EP (1) EP3134051B1 (de)
FR (1) FR3020268B1 (de)
WO (1) WO2015162391A1 (de)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA3092069C (en) * 2018-02-27 2022-08-30 Mascull, Roger Thomas A seating support
IT202000003056A1 (it) 2020-02-17 2021-08-17 Raffaele Grosso Sistema di controllo posturale modulare.

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4484782A (en) * 1982-01-19 1984-11-27 Larson Jonathan A Customized chair and method of manufacturing
US20080185899A1 (en) * 2006-08-08 2008-08-07 Van Den Nieuwboer Johanna Hend Pathology related individual modular orthopedic seating system

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2536975B1 (fr) 1982-12-07 1986-06-13 Renault Siege orthopedique ajustable, notamment pour vehicules automobiles
FR2737433B1 (fr) 1995-08-02 1997-10-31 Maillet Orthopedie Sarl Procede de fabrication par moulage d'un siege notamment d'un siege orthopedique et siege obtenu
IES960189A2 (en) * 1996-02-29 1997-07-30 Colm Campbell Method and apparatus for use in the design of orthopaedic chairs
EP1131030A1 (de) 1998-11-16 2001-09-12 Invacare Corporation Adaptierbares sitzkissen und positioniereinrichtung mit druckausgleichsregelungseinsatzelementen
IT1400537B1 (it) * 2010-05-26 2013-06-11 Pro Medicare S R L Sistema di postura, in particolare per persone non deambulanti o parzialmente deambulanti.

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4484782A (en) * 1982-01-19 1984-11-27 Larson Jonathan A Customized chair and method of manufacturing
US20080185899A1 (en) * 2006-08-08 2008-08-07 Van Den Nieuwboer Johanna Hend Pathology related individual modular orthopedic seating system
EP2053943A1 (de) * 2006-08-08 2009-05-06 Sunrise Medical HHG Inc. Krankheitsabhänigges individuelles modulares orthopädisches sitzsystem

Also Published As

Publication number Publication date
FR3020268A1 (fr) 2015-10-30
WO2015162391A1 (fr) 2015-10-29
FR3020268B1 (fr) 2022-05-27
EP3134051A1 (de) 2017-03-01

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