EP3713524A1 - Orthèse de main et système comprenant une orthèse de main - Google Patents

Orthèse de main et système comprenant une orthèse de main

Info

Publication number
EP3713524A1
EP3713524A1 EP18804604.9A EP18804604A EP3713524A1 EP 3713524 A1 EP3713524 A1 EP 3713524A1 EP 18804604 A EP18804604 A EP 18804604A EP 3713524 A1 EP3713524 A1 EP 3713524A1
Authority
EP
European Patent Office
Prior art keywords
hand
orthosis
support
hand orthosis
functional element
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.)
Pending
Application number
EP18804604.9A
Other languages
German (de)
English (en)
Inventor
Fredrik FLOOD
Guido Kahlmeyer
Julia BIALOWONS
Alexander Hardt
Klaus Lidolt
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.)
Ottobock SE and Co KGaA
Original Assignee
Ottobock SE and Co KGaA
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 Ottobock SE and Co KGaA filed Critical Ottobock SE and Co KGaA
Publication of EP3713524A1 publication Critical patent/EP3713524A1/fr
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0118—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132—Additional features of the articulation
    • A61F2005/0165—Additional features of the articulation with limits of movement
    • A61F2005/0167—Additional features of the articulation with limits of movement adjustable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132—Additional features of the articulation
    • A61F2005/0172—Additional features of the articulation with cushions
    • A61F2005/0174—Additional features of the articulation with cushions laterally placed
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/013—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the arms, hands or fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A61F5/3761—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the limbs to other objects

Definitions

  • the invention relates to a hand orthosis with a cuff for attaching the hand orthosis to a wrist or a forearm of a wearer of the hand orthosis, at least one support strut extending radially or ulnar next to the hand of the wearer in the direction of extension of the forearm and at least one support element which is arranged on the support strut.
  • the invention also relates to a system with such a hand orthosis.
  • Hand orthoses have long been known from the prior art. They have a cuff that places the hand orthosis on the wearer's wrist or lower arm. Depending on the purpose of the hand orthosis this cuff is already designed differently. Thus, there are cuffs that extend only over the wrist and a small part of the forearm to apply only a slight support effect, for example, when a thumb is to be supported. If the wrist is to be sedated, a larger sleeve is necessary, which may also have rigid or less flexible elements, such as rails or rods.
  • a support strut extends in the direction of the extension of the forearm.
  • This support strut is arranged next to the hand, that is to say radially or ulnarly, and can be arranged, for example, directly on the cuff or on a separate support element.
  • a support element which may also be formed integrally with the support strut, is, for example, a rail element or a clasp which, for example, is at least partly, but advantageously completely guided around the wrist or the forearm of the wearer of the hand orthosis.
  • At this support strut is a support element.
  • the support strut extends in the direction of the extension of the forearm. However, this does not mean that the support strut and the forearm run parallel in a mathematical sense. Rather, the support strut is ulnar or radial next to the hand.
  • a support element On the support strut, a support element is arranged, which preferably extends at right angles to the support strut. Of course, other angle settings are possible.
  • the carrier element itself advantageously extends over the back of the hand, that is to say dorsally, or along the palm, that is to say volar. It extends in each case from the radial or ulnar side, on which the support strut is located, in the direction of the respective opposite side.
  • Such hand orthoses can be used for different purposes. Thus, only an immobilization of the wrist or a limitation of the wrist angle, in which the wrist is movable, can be achieved. Alternatively or additionally, spasticity can be prevented or, for example, after an operation the dexterity can be trained. For all these different requirements, different types of hand orthoses are provided in the prior art.
  • the object of the invention to further develop hand orthoses of the type mentioned at the beginning in such a way that the storage position can be reduced and the flexibility of the applicability of the hand orthosis can be increased.
  • the invention solves this problem by a hand orthosis according to the preamble of claim 1, which is characterized in that a functional element is releasably attached to the support element. In this way it is achieved that for a multiplicity of different areas of application, a base body of the hand orthosis with sleeve, support strut and carrier element can be used and the actual elements which become the requirements in the form of the functional element on the carrier element. can be attached.
  • the functional element is arranged in a form-fitting manner on the carrier element, in particular clipped on or attached to the carrier element or attached by at least one hook-and-loop fastener element. In this way, a change and a setting in a particularly simple manner possible.
  • the carrier element has, for example, a positive-locking element, while the functional element has the correspondingly configured counter-shaped element.
  • the two form elements can cooperate with one another in such a way that a form-locking connection occurs, for example by a part of the form-locking element of the carrier element latching or snapping into a recess of the counterforming element provided for this purpose on the functional element.
  • the reverse case is possible.
  • the snap or clip connection achieved in this way can be released again and the functional element can be removed from the carrier element.
  • the functional element has a recess into which the carrier element can be inserted.
  • the functional element can be plugged onto the carrier element.
  • the functional element can also have a locking device, for example a screw or a clamping device, with which the plugged-on functional element can be fastened on the carrier element in order to prevent it from slipping and shifting.
  • the individual position in which the functional element on the Carrier element is arranged in this way easily and stepless einsteil- bar.
  • the carrier element has a non-circular cross section.
  • the recess in the functional element is preferably provided with the same cross section.
  • the functional element can be plugged onto the carrier element only in very specific orientations, preferably only in a single orientation. Also in this way a wrong operation is avoided.
  • the carrier element and the recess of the functional element in each case with a circular cross-section.
  • the functional element can be rotated about a longitudinal axis of the carrier element, that is to say the center point of the respectively circular cross-section. The orientation of the functional element relative to the hand can be better adjusted in this way.
  • the functional element is a volar support element or a dorsal support element.
  • a volares support element is arranged on the hand plate, ie the inner surface of the hand. It is used, for example, to prevent spasticity, ie cramping of the hand into a fist.
  • the functional element may also be a dorsal support element.
  • a dorsal support element is placed on the back of the hand and can, for example, exert a pulling force on the fingers and thus also of the cramping of the hand
  • the support strut can be fastened in a first position or a first orientation and in at least one second position or at least one second orientation on a support element.
  • the carrier element is in a first position or a first orientation and in at least one second position or at least one second orientation attachable to the support strut.
  • the support strut and / or the carrier element are advantageously shaped so that the carrier element is located dorsally of the hand when the support strut and / or the carrier element is in the first position or orientation. This is advantageous if a force or an effect is to be exerted on the back of the hand or from this direction on the fingers by the functional element.
  • the support element is preferably volar, that is to say arranged in the region of the palm when the support strut and / or the support element is in a second position or a second orientation.
  • functional elements can be arranged on the palm so as to produce a desired effect in this way.
  • the functional element has at least one quenching device.
  • quencher devices are provided for a plurality of fingers, advantageously for each individual finger.
  • the functional element preferably has a hand shell or a hand clasp. This hand shell or hand clasp may be formed as a volares or dorsal support element and support the hand from the direction mentioned.
  • the functional element has a training device, by means of which, for example, the motor skills of the hand, in particular after an operative procedure, can be restored and trained.
  • a training device is preferably an elastically deformable training device, for example a ball. Naturally, differently shaped training devices are also possible.
  • the invention also achieves the stated object by means of a system having a hand orthosis described here and at least one second functional element which can be fastened detachably to the carrier element.
  • the second functional element is advantageously a different functional element than the first functional element, which is part of the manual orthosis.
  • a hand orthosis of the type described here may be part of an arm or even shoulder orthosis.
  • Such an orthosis has, for example, a shoulder orthosis element which has an upper arm portion.
  • a fastening element for example a fastening belt or strap is arranged on which the hand orthosis can be arranged.
  • two or more fasteners, such as fastening straps may be present.
  • the hand orthosis is preferably detachable, for example, via push buttons or buckles fastened to the shoulder portion bar. Again, it is advantageous if a distinction for right or left shoulder elements does not have to be made, but the hand orthosis is usable for both sides.
  • Such an orthosis is used, for example, for patients with shoulder pain or shoulder dysfunction after a stroke or after injuries to the central or peripheral nervous system.
  • the hand orthosis allows even better care of the affected patients.
  • the hand orthosis can also be used without a functional element.
  • the carrier element is arranged in the aforementioned manner adjustably on the support strut.
  • the support element By the support element, the lower hand can be positioned.
  • a shoulder orthosis but also without the arrangement being used on other components. It can be used to position the underhand of the wearer and in particular to exercise a twisting effect.
  • Figure 5 schematic representations of a part of a hand orthosis and Figures 6 to 8 - representations of an orthosis in the applied state.
  • FIG. 1 shows part of a flange orthosis according to a first exemplary embodiment of the present invention.
  • a support strut 2 which is arranged on a sleeve, not shown, there is a support element 4, which has a circular cross-section in the illustrated embodiment.
  • the carrier element 4 is arranged displaceably in a slot provided for this purpose 6 on the support strut 2. In this way, the position of the support element 4 can be adjusted relative to the edge of the support of the Flandorthese.
  • a functional element 8 which has a box-shaped fastening device 10 which has a recess 12 which extends through the fastening device 10 and likewise has a circular cross section.
  • the fastening device 10 can be fastened to the carrier element 4 via a locking element (not illustrated), for example a screw or a clamping device.
  • the functional element 8 has a flange clip 14 into which, for example, a part of the flange of the carrier can be inserted. At their bent ends are two openings 16, in each of which a belt can be threaded in order to fix the flange to the flange 14.
  • the flange clip 14 can also be pivoted into a dorsal position from the illustrated volar position in which the flange in FIG. 1 is inserted from above into the flange clip 14. This is shown by the dashed line 18.
  • the functional element 8 can also be fixed to the carrier element 4 by the fastening device 10 in this position. In this case, the flange clip 14 is placed from above onto the back of the flank of the wearer's flank.
  • FIG. 2 shows an alternative embodiment.
  • the support member 4 is formed with a circular cross section and can in the slot 6 of Support strut 2 are moved.
  • the functional element 8 is here formed with whipping devices 20.
  • Such a quencher device has a pin 22 which is arranged on a base plate 24 and serves as a carrier for a respective quenching wire 26.
  • a quenching wire 26 is not necessarily a metal wire, even if this is a possible design.
  • the Quengeldraht 26 may also be formed as a thread or rope or other tension element.
  • the quenching wire 26 is elastic.
  • One end of the quenching wire is fixed to the base plate 24, while in the embodiment shown at the other end of the quenching wire 26 is a finger cap 28 which can be slipped over one of the fingers 30.
  • a tensile force is exerted on the fingertip of the finger 30, on which the finger cap 28 is seated, via the quenching wire 26 and in this way prevents or at least restricts a movement of the finger 30.
  • FIG. 3 shows a further embodiment.
  • the support member 4 is formed with a circular cross-section and slidably positioned in the slot 6 on the support strut 2.
  • the support strut 2 is arranged on a support element 32 and can be brought via a rotary joint 34 in different orientations.
  • the functional element 8 is formed in the illustrated embodiment as a support plate 36. It is arranged dorsally on the hand and has finger sleeves 38, by means of which the individual fingers can be arranged on the support plate 36.
  • FIG. 4 shows a further exemplary embodiment.
  • the functional element 8 is a training ball 40, which is preferably elastic and serves to train the hand.
  • the support member 4 and the support strut 2 are formed as in the other embodiments.
  • the support element 4 is arranged at the end of the support strut 2, in which the slot 6 is located.
  • the carrier element is designed curved and can be completely removed from the slot 6 and used in the opposite orientation. This way can be especially easy between a hand orthosis for the right and the left side are distinguished.
  • the hand-held orthosis has a shell element 42, on which eyelets 44 are arranged, are passed through the straps, not shown, around the eyelets
  • Hand orthosis to determine the forearm of the wearer. These form together with the shell element the cuff of the hand orthosis.
  • the shell element 42 has two parts which are displaceable relative to one another. By a displacement of the two parts to each other, the length can be adjusted.
  • Figures 6 to 8 show an orthosis in the applied state. It has a hand orthosis 46 according to an embodiment of the present invention.
  • FIG. 6 shows that the orthosis has a shoulder portion 48, which is arranged on the upper body of the wearer via a belt 50.
  • the shoulder portion has an upper arm cuff 52, at the lower end of two connecting belts 54 are arranged, on which the hand orthosis 46 is located.
  • FIG. 7 shows the two connecting straps 54, by which the hand orthosis 46 is arranged on the upper arm sleeve 52.
  • the shell element 42 has a length adjustment 58 in order to be able to set the optimum length for the length of the lower arm of the wearer.
  • the support strut 2 which extends in extension of the lower arm, is arranged on the shell element 42 via a hinge joint 60 in the exemplary embodiment shown in order to be able to achieve an opti male angle adjustment here as well.
  • the shell element 42 is connected to the connecting belt 54 via a pushbutton 62.
  • the hand orthosis 46 can be solved in a particularly easy way from the upper arm cuff 52 of the shoulder portion 48.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nursing (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)

Abstract

L'invention concerne une orthèse de main (46) comprenant - une manchette servant à fixer l'orthèse de main (46) à un poignet ou à un avant-bras d'un porteur de l'orthèse de main (46), - au moins une barre de soutien (2) qui s'étend de manière radiale ou cubitale à côté d'une main du porteur dans la direction d'un prolongement de l'avant-bras, et - au moins un élément de support (4) qui est disposé sur la barre de soutien (2), un élément fonctionnel (8) étant fixé de manière amovible sur l'élément de support (4).
EP18804604.9A 2017-11-24 2018-11-16 Orthèse de main et système comprenant une orthèse de main Pending EP3713524A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017127892.3A DE102017127892A1 (de) 2017-11-24 2017-11-24 Handorthese und System mit einer Handorthese
PCT/EP2018/081627 WO2019101654A1 (fr) 2017-11-24 2018-11-16 Orthèse de main et système comprenant une orthèse de main

Publications (1)

Publication Number Publication Date
EP3713524A1 true EP3713524A1 (fr) 2020-09-30

Family

ID=64362549

Family Applications (1)

Application Number Title Priority Date Filing Date
EP18804604.9A Pending EP3713524A1 (fr) 2017-11-24 2018-11-16 Orthèse de main et système comprenant une orthèse de main

Country Status (5)

Country Link
US (1) US20200397607A1 (fr)
EP (1) EP3713524A1 (fr)
CN (1) CN111372542A (fr)
DE (1) DE102017127892A1 (fr)
WO (1) WO2019101654A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102021006428A1 (de) 2021-12-30 2023-07-06 Peter Wienert Modifizierbare universalschiene zur handgelenk- und fingerstabilisierung und modularer bausatz zu deren herstellung

Family Cites Families (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB107386A (en) * 1916-05-27 1917-07-26 Georges Bernaudin Improvements in Wrist and Finger Supports.
US2312523A (en) * 1942-07-13 1943-03-02 Mitchell S Corbett Adjustable tension splint
DE2554496C3 (de) * 1975-12-04 1982-02-11 Fa. Walter G. Biedermann, 7210 Rottweil Orthese
US4677971A (en) * 1985-12-26 1987-07-07 Rolyan Manufacturing Co. Inc Adjustable wrist splint
US5002044A (en) * 1989-10-10 1991-03-26 Carter Peter R Derotation wrist brace
US5848979A (en) * 1996-07-18 1998-12-15 Peter M. Bonutti Orthosis
GB9807858D0 (en) * 1998-04-15 1998-06-10 Foote Brian Splint
US6179799B1 (en) * 1999-02-01 2001-01-30 Robert E. Doran Orthosis for supination and pronation of the wrist
US20040133137A1 (en) * 2002-12-04 2004-07-08 Hargis Veronica Rose Non-compression carpal/wrist keyboard brace
US7473234B1 (en) * 2004-05-24 2009-01-06 Deroyal Industries, Inc. Brace with worm gear
DE102004029457A1 (de) * 2004-06-18 2006-01-12 Oped Ag Handgelenkorthese
US7547290B1 (en) * 2004-06-18 2009-06-16 Waleed Al-Oboudi Orthotic device
GB2425960A (en) * 2005-05-12 2006-11-15 Ali Bajwa Adjustable splint
US8070702B2 (en) * 2007-10-11 2011-12-06 Saebo, Inc. Splint assembly for positioning of the hand
CN101716104B (zh) * 2009-12-10 2013-04-24 李若伟 便携组合式四肢骨折急救固定装置
CN203777119U (zh) * 2014-04-02 2014-08-20 中国人民解放军兰州军区兰州总医院 跟腱延长术后康复支具
CN204260890U (zh) * 2014-11-07 2015-04-15 天津市意欧风范科技有限公司 下肢康复支架
CN204618513U (zh) * 2015-05-04 2015-09-09 张振帅 上肢康复装置
DE102015012320B4 (de) * 2015-09-23 2017-04-20 Albrecht Gmbh Handgelenksorthese
CN106333827B (zh) * 2016-09-23 2018-10-02 合肥工业大学 可穿戴式四指康复训练装置

Also Published As

Publication number Publication date
US20200397607A1 (en) 2020-12-24
WO2019101654A1 (fr) 2019-05-31
CN111372542A (zh) 2020-07-03
DE102017127892A1 (de) 2019-05-29

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