EP3466393B1 - Dispositif de renforcement et son procédé de fonctionnement - Google Patents

Dispositif de renforcement et son procédé de fonctionnement Download PDF

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Publication number
EP3466393B1
EP3466393B1 EP17195222.9A EP17195222A EP3466393B1 EP 3466393 B1 EP3466393 B1 EP 3466393B1 EP 17195222 A EP17195222 A EP 17195222A EP 3466393 B1 EP3466393 B1 EP 3466393B1
Authority
EP
European Patent Office
Prior art keywords
longitudinal axis
support
frame
footrest
oscillation
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
EP17195222.9A
Other languages
German (de)
English (en)
Other versions
EP3466393A1 (fr
Inventor
Volker Perlitz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Simplana GmbH
Original Assignee
Simplana GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Simplana GmbH filed Critical Simplana GmbH
Priority to EP17195222.9A priority Critical patent/EP3466393B1/fr
Priority to ES17195222T priority patent/ES2790402T3/es
Priority to US16/153,264 priority patent/US20190105214A1/en
Publication of EP3466393A1 publication Critical patent/EP3466393A1/fr
Application granted granted Critical
Publication of EP3466393B1 publication Critical patent/EP3466393B1/fr
Active legal-status Critical Current
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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
    • A61H1/005—Moveable platforms, e.g. vibrating or oscillating platforms for standing, sitting, laying or leaning
    • 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
    • A61H1/001—Apparatus for applying movements to the whole body
    • A61H1/003—Rocking or oscillating around a horizontal axis transverse to the body
    • 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
    • A61H1/006—Apparatus for applying pressure or blows for compressive stressing of a part of the skeletal structure, e.g. for preventing or alleviating osteoporosis
    • 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
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1619—Thorax
    • A61H2201/1621—Holding means therefor
    • 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
    • A61H2201/1642—Holding means therefor
    • 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
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1676—Pivoting
    • 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 first relates to a support device with a frame and with a bed pivotally mounted on the frame for a human body, which has holding elements for holding a torso of the body on the bed and a footrest, with a swivel drive for pivoting the bed around the frame a transverse axis of the body between a reclining position with a longitudinal axis of the body running parallel to a horizontal and a support position with a longitudinal axis of the body which is inclined by a support angle against the horizontal, in which legs of the body support a weight of the body at least partially on the footrest, and with a Vibratory drive for exciting a vibration of the bed, which is mounted on the frame and moves the bed parallel to the longitudinal axis.
  • the invention further relates to a method for operating such a support device.
  • US 4,858,598 A discloses a support device of the type mentioned in the introduction, in which the couch is first raised rhythmically by means of the oscillating drive by means of an eccentric, pneumatic cylinder or electromagnet and, after passing through the eccentric or by releasing the pneumatics or the voltage supply, is dropped in order to provide the stimulus in a manner sufficient for the bone structure Way to reinforce.
  • threaded spindles are generally known which convert a rotational movement of a driven threaded rod into a translatory movement of a spindle nut which can be displaced in the longitudinal direction on the threaded rod.
  • the invention has for its object to avoid overloading the osseous skeleton.
  • the oscillating drive excites the oscillation in both directions of the longitudinal axis by means of a threaded spindle, in that a rotatable threaded rod of the threaded spindle displaces a threaded nut running on the threaded rod.
  • the threaded spindle enables gentle lifting and especially lowering with low, precisely controllable accelerations. The invention thus avoids the impulse which arises in the known support device due to the free fall of the footrest and the associated risk of trauma.
  • the load amplitude can be set on the one hand via the support angle and on the other hand via the lifting height of the vibration.
  • a support device preferably has a pressure transducer on the footrest for measuring a pressure exerted on the footrest by the legs parallel to the longitudinal axis.
  • the support device according to the invention thus allows direct control of the load exerted on the patient.
  • the pressure transducer does not measure sudden load changes, but gentle load profiles that enable precise control, monitoring and documentation of the therapy.
  • the pressure sensor is preferably a pressure-sensitive mat.
  • Pressure-sensitive mats are available in different versions on the market and allow measurement without exact positioning of the legs.
  • the vibration is excited in both directions of the longitudinal axis by means of a threaded spindle in that a rotatable threaded rod of the threaded spindle displaces a threaded nut running on the threaded rod.
  • the method according to the invention can be carried out particularly well with a support device according to the invention and is equally distinguished by the aforementioned advantages.
  • the vibration preferably has a frequency of 1 to 2.4 Hz and a stroke height of up to 25 mm .
  • the load on the patient's osseous skeleton then mimics the frequency and load profile when walking slowly.
  • the oscillation preferably runs periodically. Periodic vibrations with physiologically typical frequencies stimulate bone growth.
  • the vibration is preferably regulated such that a pressure exerted on the footrest by the legs parallel to the longitudinal axis does not exceed a maximum value.
  • a pressure exerted on the footrest by the legs parallel to the longitudinal axis does not exceed a maximum value.
  • measured values of the pressure are preferably stored and the maximum value is automatically increased.
  • the lifting height is preferably increased automatically and / or the support angle is increased.
  • Methods according to the invention with an automatic increase in the maximum value, the lifting height or the support angle take into account a training effect of the treatment with a support device operated according to the invention.
  • the support device 1 has a frame 2 and a bed 3 for an in Fig. 1 schematically represented human body 4.
  • the frame 2 consists essentially of welded steel profiles, namely a base 5 made of two U-shaped side cheeks 6, which are each connected at the head end 7 and foot end 8 of the support device 1 by cross struts 9, and a rectangular, parallel to a horizontal 10 lying table 11.
  • the table 11 can be raised by means of a lifting drive 12 via a lever mechanism 13 from the position shown with a table height 14 of 500 mm to a maximum working height of 650 mm , not shown.
  • the bed 3 has a padded lying surface 15 and holding elements 16 for holding the trunk 17 and the legs 18 of the body 4. Belts are used as holding elements 16. Furthermore, the bed 3 at the foot end 8 also has a padded footrest 19.
  • the holding device 3 is by means of a swivel drive 20 about a transverse axis 21 of the body 4 from a lying position, not shown, in which a longitudinal axis 22 of the body 4 on the bed 3 and this runs parallel to the horizontal 10 on the table 11, in support angle 23 between Longitudinal axis 22 and the horizontal 10 pivotable up to 90 degrees .
  • the swivel drive 20 engages a frame 24 which is also welded from steel profiles and which is attached to the table 11 in a joint 25.
  • the bed 3 is slidably mounted on the frame 24 and guided in the direction of the longitudinal axis 22 by means of guide bushings 26.
  • the support device 1 has an in Fig. 2b Vibratory drive 27 shown in detail.
  • the oscillating drive 27 consists of an electric motor 28, which drives a threaded rod 30 running in the direction of the longitudinal axis 22 via a gear 29.
  • the gear 29 is mounted in a support flange 31 on the frame 24.
  • a threaded nut 32 runs on the threaded rod 30 and is connected to the bed 3.
  • the patient's body 4 is first placed in the lying position on the lying surface 15 such that the legs 18 are supported on the footrest 19. Then the body 4 is held on the bed 3 by means of the holding elements 16 and the bed 3 is pivoted about the support bracket 23.
  • the bed 3 In the pivoted position, the bed 3 is set in vibration by means of the oscillating drive 27.
  • the support device 1 transmits a movement pattern, which may correspond, for example, to a remembered individual gait pattern, to the patient's bones.
  • the treatment is repeated at regular, for example daily, intervals in order to ensure continuous exposure of the bony skeleton to the gravitational stimuli, with improved osseous resilience markers, e.g. B. bone density, the load can be increased continuously.
  • the height of the table 11, the support angle 23 of the bed 3 and the vibration are adjusted with a control device, not shown.

Landscapes

  • 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)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Claims (11)

  1. Dispositif de soutien (1)
    a. avec un châssis (2), et
    b. avec une couchette (3) montée pouvant pivoter sur le châssis (2) pour un corps humain (4), qui comporte des éléments de maintien (16) destinés à maintenir un tronc (17) du corps (4) sur la couchette (3) et un repose-pied (19),
    c. avec une commande de pivotement (20) destinée à faire pivoter la couchette (3) sur le châssis (2) autour d'un axe transversal (21) du corps (4) entre une position couchée avec un axe longitudinal (22) du corps (4) passant parallèlement à une ligne horizontale (10) et une position de soutien avec un axe longitudinal (22) du corps (4) incliné par rapport à la ligne horizontale autour d'un angle de soutien (23) dans laquelle les jambes (18) du corps (4) appuient au moins en partie sur le repose-pied (19) un poids du corps (4), et
    d. avec un système d'entraînement de vibration (27) destiné à stimuler une vibration de la couchette (3), qui est logée sur le châssis (2) et déplace la couchette (3) parallèlement à l'axe longitudinal (22),
    caractérisé en ce que le système d'entraînement de vibration (27) stimule dans les deux directions de l'axe longitudinal (22) la vibration au moyen d'une broche filetée, une barre filetée (30) pouvant tourner de la broche filetée déplaçant un écrou fileté (32) passant sur la barre filetée (30).
  2. Dispositif de soutien (1) selon la revendication précédente, caractérisé par un capteur de pression sur le repose-pied (19) destiné à mesurer une pression exercée sur le repose-pied (19) par les jambes (18) parallèlement à l'axe longitudinal (22).
  3. Dispositif de soutien (1) selon la revendication précédente, caractérisé en ce que le capteur de pression est une natte sensible à la pression.
  4. Dispositif de soutien (1) selon l'une quelconque des revendications précédentes, caractérisé par un système de levage (12) destiné à lever et baisser la couchette (3) dans le sens vertical.
  5. Procédé destiné à faire fonctionner un dispositif de soutien (1) avec un châssis (2) et une couchette (3) montée sur le châssis (2) pour un corps humain (4), sachant que la couchette (3) est pivotée sur le châssis (2) autour d'un axe transversal (21) du corps (4) de telle manière qu'un axe longitudinal (22) du corps (4) est incliné d'un angle de soutien (23) par rapport à une ligne horizontale et les jambes (18) du corps (4) appuient au moins en partie un poids du corps (4) sur un repose-pied (19) de la couchette (3) et sachant que la couchette (3) est stimulée pour une vibration parallèlement à l'axe longitudinal (22), caractérisé en ce que la vibration est stimulée dans les deux directions de l'axe longitudinal (22) au moyen d'une broche filetée, une barre filetée (30) déplaçant un écrou fileté (32) passant sur la barre filetée (30).
  6. Procédé selon la revendication précédente, caractérisé en ce que la vibration comporte une fréquence de 1 à 2,4 Hz et une hauteur de levage allant jusqu'à 25 mm.
  7. Procédé selon l'une quelconque des revendications précédentes, caractérisé en ce que la vibration se déroule de façon périodique.
  8. Procédé selon l'une quelconque des revendications 5 à 7, caractérisé en ce que la vibration est réglée de telle manière qu'une pression exercée sur le repose-pied (19) par les jambes (18) parallèlement à l'axe longitudinal (22) ne dépasse pas une valeur maximale.
  9. Procédé selon la revendication précédente, caractérisé en ce que les valeurs mesurées de la pression sont mémorisées et la valeur maximale est augmentée automatiquement.
  10. Procédé selon l'une quelconque des revendications 5 à 9, caractérisé en ce que la hauteur de levage est augmentée automatiquement.
  11. Procédé selon l'une quelconque des revendications 5 à 10, caractérisé en ce que l'angle de soutien (23) est augmenté automatiquement.
EP17195222.9A 2017-10-06 2017-10-06 Dispositif de renforcement et son procédé de fonctionnement Active EP3466393B1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP17195222.9A EP3466393B1 (fr) 2017-10-06 2017-10-06 Dispositif de renforcement et son procédé de fonctionnement
ES17195222T ES2790402T3 (es) 2017-10-06 2017-10-06 Dispositivo de apoyo y procedimiento de operación del mismo
US16/153,264 US20190105214A1 (en) 2017-10-06 2018-10-05 Support device and method of operating the support device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP17195222.9A EP3466393B1 (fr) 2017-10-06 2017-10-06 Dispositif de renforcement et son procédé de fonctionnement

Publications (2)

Publication Number Publication Date
EP3466393A1 EP3466393A1 (fr) 2019-04-10
EP3466393B1 true EP3466393B1 (fr) 2020-03-11

Family

ID=60043039

Family Applications (1)

Application Number Title Priority Date Filing Date
EP17195222.9A Active EP3466393B1 (fr) 2017-10-06 2017-10-06 Dispositif de renforcement et son procédé de fonctionnement

Country Status (3)

Country Link
US (1) US20190105214A1 (fr)
EP (1) EP3466393B1 (fr)
ES (1) ES2790402T3 (fr)

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR1584943A (fr) * 1968-10-16 1970-01-02
US3752154A (en) * 1972-05-16 1973-08-14 Clark Mobilizer Inc Therapeutic vibrating machine
US3885556A (en) * 1973-08-27 1975-05-27 Katsuzo Agatani Inclinable bed adapted for use to medical care
US4858598A (en) 1986-10-17 1989-08-22 Halpern Alan A Antiosteoporosis device having drop platform with powered drop
FR2726184B1 (fr) * 1994-10-28 1997-04-18 Gedouin Jean Appareil de reeducation de la colonne vertebrale humaine
WO2005074373A2 (fr) * 2004-02-05 2005-08-18 Motorika Inc. Procedes et appareil pour la reeducation et l'entrainement
DE202006009373U1 (de) * 2005-08-17 2006-08-17 Lütke-Wenning, Jürgen Vorrichtung zur Stimulation eines Knochenskeletts
US20090054217A1 (en) * 2007-08-21 2009-02-26 Teeter Roger C Tilting inversion exerciser having vibrating device
US9283420B2 (en) * 2010-03-15 2016-03-15 Hypervibe Pty Ltd Vibration apparatus
KR101249651B1 (ko) * 2011-06-09 2013-04-01 전북대학교산학협력단 진동판을 이용한 조기재활훈련장치
ITRM20120596A1 (it) * 2012-11-27 2014-05-28 Bios Project Srl Macchina per massaggi con letto inclinabile provvisto di seduta
DE102014105250A1 (de) * 2014-04-13 2015-10-15 ReActive Robotics GmbH Rehabilitationsmechanismus für bettpflichtige Patienten sowie ein den Rehabilitationsmechanismus umfassendes Bett
US9572742B2 (en) * 2015-01-15 2017-02-21 Jack Larry Chadwick Relaxation device
ES2551056B1 (es) * 2015-09-21 2016-09-08 Carlos Fradera Pellicer Dispositivo terapéutico

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None *

Also Published As

Publication number Publication date
US20190105214A1 (en) 2019-04-11
ES2790402T3 (es) 2020-10-27
EP3466393A1 (fr) 2019-04-10

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