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
  • A61H3/00—Appliances for aiding patients or disabled persons to walk about
  • A61H3/04—Wheeled walking aids for patients or disabled persons

Definitions

• the present invention relates to a walker having an arm support journalled in a base provided with wheels, the arm support being adjustable vertically relative to the base.
• Walkers of the above kind are previously known of different designs. What is common for these known walkers is however, that they, in an unloaded state, are only, and by steps, adjus ⁇ table vertically, not providing any possibility for the user to receive a lifting aid when raising himself from a sitting posi ⁇ tion in order to move by means of the walker. In reverse, neither do these known walkers provide any aid to the user when he, after having moved around with the walker, is to sit down again.
• Walkers of this common kind are used by persons with reduced strength in arms or- legs or with difficulties maintaining balance, i.e., mostly by persons with such serious ambulatory handicaps that use of crutches is totally out of the question.
• One drawback with the earlier known walkers is that, in use, their height can not be adjusted.
• each walker has to be adjusted for a height that is adapted to the user, and the accomplished adjustment is not altered as long as the same person uses the walker.
• it is even more aggravating that a person with serious ambulatory handicaps without aid lacks the possibility to rise from a sitting position to the walker, which is fixedly adjusted at a level that is adapted according to the height of the upright standing user.
• the object of the invention is therefore to provide a walker of the above kind, by the help of which the above presented drawbacks with conventional walkers, can be eliminated.
• Figure 1 shows a perspective view of a walker according to the invention
• Figure 2 shows a cross section through the raise/lower device according to the invention
• Figure 3a shows a view in detail, also in a cross section, of the upper part of the raise/lower device including the valve mechanism, and
• Figure 3b shows the valve mechanism in a plan view according to Fig. 3a
• Figure 4 shows an alternative embodiment of the valve mecha ⁇ nism, also in a cross section.
• Fig. 1 The invention is shown in Fig. 1 in conjuction with a known type of a walker. It should, however, be clear that the inven ⁇ - tion can as well be used for other types of walkers having the common basic features as stated in the preamble of the accom ⁇ panying claim 1.
• the walker thus, comprises a base 3 provided with wheels 4, from which base two support tubes 9 extend upwardly.
• the support tubes 9 being tubular are adapted, each one of them, to receive a leg 8 extending downwardly from an arm support 2.
• the arm support 2 is, seen from above, U-shaped and has a padded upper surface, so that the user can be standing in the U-opening with both arms resting on the arm support and the hands placed on the handles 2a, which are fixed in connection to the web of the U-shape.
• a control handle 14 is fixed in connection to the handles 2a, the function of which is to operate a valve mechanism 6, which in turn actuates a raise/lower device, which will be described more in detail further below.
• Alternative options for the operation of the valve mechanism will also be discussed below.
• the raise/lower device 5 is mounted in the legs 8 of the arm support constituting the actual connection between this leg 8 and the support tube 9 of the base 3. It is conceivable, however, to mount a raise/lower device 5 in one of the arm support legs 8 only, but in order to attain a reliable func ⁇ tion, it is of an absolute preference that the raise/lower device is arranged in each of the arm support legs.
• the raise/lower device 5 comprises a gas spring 7 which is of a conventional type, and therefore needs no further description.
• gas springs of this kind contain a compressed gas, which continously exerts a force that urges the piston rod to extend toward its outermost position.
• the piston At the piston end opposing the piston rod " end, the piston has a pin 7c, which when being unloaded, automatically locks the piston in the position it has reached. By depressing the pin the piston is activated, so that the compressed gas urges the piston rod to extend.
• the gas spring is at its rear end and through a male thread mounted in an end piece 11 which is fixedly provided in the upper end of a slide tube 10 forming the arm support leg.
• the piston rod 7a of the gas spring extends downwardly from the slide tube 10 and into the support tube 9 of the base 3, having at its free end a guiding block 7b, preferably of aluminium, which is a tight fit in the support tube 9 for fixing the piston rod transversely, but which yet is provided with an outer dimension that is somewhat smaller than the inner diameter of the support tube 9, so that it can be readily withdrawn therefrom.
• the guiding block 7b is in a constant contact with the base 3 at the bottom of the support tube 9, whereby the base functions as a stop face.
• the slide tube 10 of the arm support is tightly received inside the support tube 9 of the base 3 so as to be slidably guided therein when the raise/lower device 5 is operated.
• the end piece 11 which is fixedly arranged in the slide tube 10, is at its lower end provided with a female threaded bore lib, in which the gase spring 7 is mounted in the above indicated way.
• the female threaded bore lib debouches into a bore 16, which is transversely made through the end piece 11 and which is intended to cooperate with a valve mechanism, which will be described later on. It is also realized, that when the gas spring is mounted in the end piece, its pin 7c protrudes a distance into the transverse bore 16 of the end piece 11.
• a bolt 12 which is fixed to the arm support and protrudes downwardly therefrom, is engagable for the detachable mounting of the end piece and, thus, the slide tube 10 to the arm support 2.
• the whole raise/lower device 5 including the slide tube 10 and the end piece 11 connected thereto can be exchanged, when needed, as a complete casette.
• This possibility of a simple changing of the complete casette permits a smooth and easy way of adapting the walker according to patients of different weights.
• ready-to-use casettes which are equipped with gas springs of varying power.
• the lifting aid it is very important that the lifting aid be adapted carefully according to the user of the walker, on the one hand, because the lifting force must not be greater than to permit the person to press down the walker, without any problem, in order to sit himself down and, on the other hand, because the lifting force yet should be sufficient to make it possible for the person to rise and sit down without help.
• the seriously ambulatory handicapped persons it is additionally of a great importance that they are not rendered too great a lifting aid by the walker, since, in many instances, it is necessary for these persons to keep on being active and training their muscles according to ability, so that the muscles do not undergo atrophy. It has proven in practice that the best function, with regard to the above, is achieved if the raise/lower device 5 has a lifting power that is lower than the weight of the user by approximately 20 kilograms.
• the valve mechanism comprises a valve body 17 with a through bore 18 (Fig. 3b) having a diameter adapted to the outer diameter of the slide tube.
• the valve body 17 is mounted onto the slide tube, which is inserted into the through bore 18 and secured to the slide tube by means of not shown lock screws.
• valve body 17 has a valve bore 20 which, with the valve mechanism being mounted, is in alignment with the transverse bore 16 of the end piece 11, and has the same cross section dimension as the transverse bore, so that these bores integral ⁇ ly form a passage for a valve slide 19, which by means of a spring 21 is biased to the left in Fig. 3a.
• openings 10a the dimension of which corresponds to the transverse bore 16, are made in the slide tube 10 in connection with the ends of the transverse bores.
• the valve slide 19 has at its under ⁇ side an oblique groove 22, the depth of which increases from left to right in Fig. 3a.
• the pin 7c of the gas spring 7 extends into the transverse bore 16 of the end piece 11, and it is now obvious that the pin 7c is received in the groove 22 of the valve slide 19 and is depressed gradually as the slide is brought to the right in Fig. 3a.
• the valve slide 19 is operated by means of the handle 14 through a cable 23, one end of which is fixed to the valve slide.
• the left end, according to Fig. 3a, of the valve bore 20 is closed by means of a not shown plug, which at the same time serves as a stop for the valve slide and restricts its movement to the left.
• a servo motor can, however, be mounted in the left end, according to Fig. 3a, of the valve bore, which servo motor drives the valve slide to the right in the figure when being activated.
• the embodiment with a servo motor is preferably used in those cases, when the walker is to be used by a patient, who lacks sufficient hand strength in order to operate the valve slide in the described way by means of a handle and a cable. It is well known in a similar context to use servo motors operated by the patient for example blowing air into a tube. These known operative devices are not, per se, part of the invention, and are therefore not described any further.
• Fig. 4 shows another, simpler embodiment of the valve mecha ⁇ nism 6', which in this case comprises an operating arm 13 pivoted by a trunnion in the end piece 11', which operating arm via the control handle 14 arranged in connection to the arm support, and the cable 23, is brought to rotate around its pivot so as to engage the pin 7c of the gas spring 7 for raising or lowering, respectively, the arm support.
• the described walker functions in the following way:
• the arm support Since the arm support remains in the depressed position, it is easy for the patient to reassume the arm support position when ⁇ ever he wishes to rise.
• the patient once again operates the control arm 14 and by not pressing down against the arm support, using all his weight, but instead, according to ability, trying to raise himself, the patient will get sufficient lifting aid from the gas compressed in the gas spring, so that he, without any assistance from another person, can rise.
• the arm support After the arm support has reass ⁇ med a height level appropriate to the patient, the patient will let go of the control handle , whereby the gas spring once again wi l l be locked.
• a gas spring without damping should preferably be used, i.e., a gas spring which is completely rigid in a locked position. This will make it easier for the patient to move by means of the walker .

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• Health & Medical Sciences (AREA)
• Public Health (AREA)
• Epidemiology (AREA)
• Physical Education & Sports Medicine (AREA)
• Rehabilitation Therapy (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Pain & Pain Management (AREA)
• Veterinary Medicine (AREA)
• General Health & Medical Sciences (AREA)
• Rehabilitation Tools (AREA)
• Liquid Crystal (AREA)
• Finish Polishing, Edge Sharpening, And Grinding By Specific Grinding Devices (AREA)
• Saccharide Compounds (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Medicines Containing Plant Substances (AREA)

Priority Applications (3)

Applications Claiming Priority (2)

Publications (1)

Family

ID=20359182

Family Applications (1)

Country Status (9)

Cited By (2)

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Citations (2)

• 1985
  • 1985-02-19 SE SE8500787A patent/SE452105B/sv not_active IP Right Cessation
• 1986
  • 1986-02-18 IL IL77909A patent/IL77909A/xx not_active IP Right Cessation
  • 1986-02-19 DE DE8686901564T patent/DE3683045D1/de not_active Expired - Fee Related
  • 1986-02-19 EP EP86901564A patent/EP0250415B1/en not_active Expired - Lifetime
  • 1986-02-19 AU AU55439/86A patent/AU5543986A/en not_active Abandoned
  • 1986-02-19 JP JP61501417A patent/JPS62502381A/ja active Granted
  • 1986-02-19 AT AT86901564T patent/ATE70434T1/de not_active IP Right Cessation
  • 1986-02-19 WO PCT/SE1986/000071 patent/WO1986004813A1/en active IP Right Grant
  • 1986-10-02 NO NO863921A patent/NO863921L/no unknown

Patent Citations (2)

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