WO2002045631A1 - Lumbar support device - Google Patents

Lumbar support device Download PDF

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Publication number
WO2002045631A1
WO2002045631A1 PCT/FR2001/003841 FR0103841W WO0245631A1 WO 2002045631 A1 WO2002045631 A1 WO 2002045631A1 FR 0103841 W FR0103841 W FR 0103841W WO 0245631 A1 WO0245631 A1 WO 0245631A1
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WO
WIPO (PCT)
Prior art keywords
belt
support
patient
support element
adjustable
Prior art date
Application number
PCT/FR2001/003841
Other languages
French (fr)
Inventor
André LIBOUREL
Original Assignee
Libourel Andre
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 Libourel Andre filed Critical Libourel Andre
Priority to AU2002216179A priority Critical patent/AU2002216179A1/en
Publication of WO2002045631A1 publication Critical patent/WO2002045631A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/02Orthopaedic corsets
    • A61F5/024Orthopaedic corsets having pressure pads connected in a frame for reduction or correction of the curvature of the spine

Definitions

  • the present invention relates to a device for assisting people suffering from back pain, in particular low back pain.
  • crutches or similar devices can also be used, but such systems are incompatible with everyday life and are reserved for extreme cases.
  • the present invention aims to provide a device also comprising organs of the type of these half-crutches, requested by the patient and transmitting the forces exerted by the latter to a belt, but, unlike the device of the prior art, the patient rests by his armpits on these organs and therefore has his hands free, which allows him to engage without problem in his usual activities, especially professional, driving a motor vehicle, to keep a book or a newspaper in a seated position and, more generally, to walk and run in a completely normal manner, etc.
  • the subject of the invention is therefore a device for assisting people suffering from back pain, in particular low back pain, which comprises, as described in US Pat. No. 5,462,518:
  • each rigid support element comprising a longitudinal part, equipped at one end with a preferably curved part on which the patient can bear by an armpit, the opposite end of each rigid element cooperating with the belt so such that the force exerted on this support element is supported by the belt.
  • the support elements of this device permanently support the patient's armpits, transmitting the force exerted by them to the belt and therefore to the patient's hips , and considerably relieving his spine, without requiring immobilization of his hands.
  • the device according to the invention is characterized in that on the belt, in opposite lateral positions relative to the body of the user, there are provided two members integral with this belt which project outwardly from the latter and each of these members comprises a housing in the form of a cylindrical recess capable of receiving the corresponding end of the longitudinal part of the associated support element, this end being able to slide freely in the housing.
  • the rigid support elements or half crutches, have good stability in the vertical direction and 1 installation of the ends of the rigid elements in the corresponding housing is done in a particularly easy and safe for the user.
  • the ends of the longitudinal parts of the support elements intended to be engaged in the housings of the members integral with the belt are equipped with an end piece made of an elastically deformable material, rubber for example, so as to absorb the contacts between these ends and the part of the housing on which they bear.
  • the end piece includes a spring.
  • the rigid support elements can be simple, compact and light. This device can therefore be easily supported by the user and can be easily hidden under a garment and / or associated with a garment.
  • the opposite part of the support elements may advantageously comprise, on the side intended to be turned towards the patient's armpit, a coating made of a flexible material, capable of absorbing the contact between this armpit and this part and of improving the comfort of the 'user.
  • the belt of the device preferably has an adjustable length and it can be of any known type, the term belt having no limiting character within the meaning of the present invention.
  • the support elements have an adjustable length, making it possible to adapt them to the morphology of different patients and, for the same patient, to adjust their length according to the conditions of use to provide optimal comfort.
  • the longitudinal part of the support elements may comprise two parts, one of which, externally threaded, is screwed into a threaded cylindrical recess of the other part.
  • each element integral with the belt may have inside the recess that it has an element adjustable in position on which can rest the end of the longitudinal part of the associated support element.
  • the device according to the invention while very appreciably relieving people who suffer from back pain, does not hinder their movements in any way and therefore leaves them free to exercise any manual activity.
  • This device also has the advantage of being able to be hidden, if necessary, from view, under the user's jacket, jacket or other clothing.
  • each rigid support member has a flattened shape.
  • the armpit support can be made for the armpit support to project from one side only of the corresponding flat end of the rigid support element.
  • the rigid element can be pressed against the body of the user and the force exerted by the user on the support element, due to the position of the latter between the armpits and the belt, tends to bend the rigid support element outwards, which contributes to damping due to the elastic properties of the material, such as a metal, constituting one rigid support element.
  • a part (for example that having the end of which the armpit support is secured) is, in one embodiment, under the shape of a flat ruler comprising a plurality of holes passing through its thickness so as to allow its attachment to the second part, also flat, having the shape of a flattened sheath and comprising at least one hole in each of its opposite faces for allow the insertion of a screw or other fixing element.
  • a part for example that having the end of which the armpit support is secured
  • a flat ruler comprising a plurality of holes passing through its thickness so as to allow its attachment to the second part, also flat, having the shape of a flattened sheath and comprising at least one hole in each of its opposite faces for allow the insertion of a screw or other fixing element.
  • FIG. 1 is an exploded perspective view of the device
  • Figure 2 is a perspective view of a patient, equipped with the device according to one invention in the position of use;
  • Figure 3 is an elevational view, partly in section, of a variant of the support element of the device of Figure 1;
  • Figure 4 is a partial sectional view of another embodiment of the device according to the invention, this view showing part of a belt and a support element;
  • Figure 5 is a view along line 5-5 of Figure 4.
  • the device illustrated in Figure 1 comprises a belt 1 of adjustable length, capable of supporting two rigid support elements 2, independent of the belt 1 and intended to support themselves the upper part of the body of a person 3, as seen in Figure 2.
  • each support element 2 comprises a substantially straight longitudinal portion 4, of which is integral ' at one end with a curved portion 5 in the form of fork,. which can be placed to support it under an armpit of the person 3 to assist.
  • the belt 1 is equipped, in two opposite locations intended to be arranged along the patient's hips, with two members 6 projecting laterally, in each of which is provided a cylindrical recess 7, capable of receiving the free end of the longitudinal part 4 of a support element 2.
  • This cylindrical recess may include a bottom fixed in position, on which the end of the part 4 is supported, or an element adjustable in position, for example a screw 8, equipped with a lock nut 9 and screwed into a tapped part. from the bottom of the recess 7, the end of the part 4 then resting on the free end of the screw 8, so that the height of the part 5 relative to the belt can be adjusted to the size of the patient.
  • an element adjustable in position for example a screw 8 equipped with a lock nut 9 and screwed into a tapped part.
  • the patient can thus bear by his armpits on the parts 5 of the elements 2, which consequently transmit to the belt 1 1 the force exerted by the weight of the upper part of his body, in thus straightening his shoulders and thereby relieving the stress exerted on his spine.
  • the free end of the straight part of the support elements 2 can advantageously be equipped with a damping member 10, for example a nozzle made of an elastic material such as rubber.
  • a layer of a flexible material such as plastic foam can equip the surface of the parts 5 on which the patient is supported, to improve the comfort of the latter.
  • Reinforcement elements can naturally be provided on the belt 1 and the latter can be of any other type than that shown in the drawing.
  • Means other than those shown in FIG. 1 can be used to adjust the useful length of the element, supporting the size of the patient.
  • FIG. 3 it is possible, for example, to produce the longitudinal part of the support elements 2 in two parts 4a, 4b, assembled in an adjustable manner in position, the part 4b being removable and having an externally threaded portion , which is screwed into a threaded recess in part 4a adjoining part 5.
  • the device according to the invention brings considerable relief to all people who suffer from the back and we will mention in particular among these, drivers of tractors, vehicles for agricultural use and public works machines, which are subject to severe working conditions and for which the device described above proves to be remarkably beneficial.
  • the member 16 fixed to the belt 11 is in the form of a thick metal plate applied to the outer face 20 of this belt by means of elements d assembly such as four screws 22] _, 222 d are deu other screws have not been shown in Figure 5) cooperating with tapped holes 24] _, 24 2, 24 3, 24 4 ( Figure 4) of member 16 and passing through holes in the belt 11.
  • the height of the member 16 is equal to, or little different from, the width of the belt, the lower edge 28 of the member 16 being not far from the lower edge 30 of the belt or in coincidence with the last and, likewise, the edge upper 32 of the member 16 being little distant from the upper edge 34 of the belt, or practically coincident with this edge.
  • the member 16 comprises a housing 27 intended to receive, in a removable manner, the lower end of the rigid element 26.
  • the bottom 36 of the housing 27 is extended downwards by a tapped hole 38 intended to receive the threaded part of a screw 40 whose end, opposite of its head, can penetrate inside the housing 27, from the bottom 36, to reduce the depth of this housing 27.
  • the lower end of the rigid element 26 comprises a cylindrical tube 44 with an external diameter slightly smaller than the internal diameter of the housing 27 and this tube 44 houses at its upper part a cylindrical element 46, for example made of plastic, fixed in the tube 44 by means of a pin 48.
  • the element 46 has at its lower part a cylindrical hole housing the upper end of a spring 50.
  • the lower end of the spring 50 is disposed in the upper opening of another organ 52 made of plastic, the lower part of which projects downwards from the tube 44 and the downwardly turned end of which has a base 54 of diameter slightly greater than its body and intended to bear against the bottom 36 of the housing 27 or against the end of the screw 40.
  • the plastic member 52 can slide in the tube 44 and is held integral with the latter by a fixing (not shown), of this member at the lower end of the spring 50.
  • This fixing can be a simple engagement by force of the spring in the opening of the member 52.
  • the tube 44 is extended upwards by a flat sheath 56 whose opposite faces 58 ⁇ , 582 each have at least one opening intended to be crossed by a screw 60.
  • the flat sheath 56 is open towards the top to allow receiving the upper end in the form of a flat rule 62 of the rigid element 26.
  • This flat rule 62 comprises a plurality of openings 64 ⁇ , 642, etc. - distributed over its length and intended to be crossed by the screw 60.
  • the length of the member 26 depends, of course, on the choice of the hole 64 Q _, 642, etc. which must be crossed by the screw 60.
  • the armpit support 42 comprises a piece in one piece at the upper end of the flat rule 62.
  • This support 42 projects from one side 66Q_ of the flat rule 62, this side being that which is opposite to the belt 11. Under these conditions, the other face 662 of the rule 62 can be applied against the body of the user, which minimizes the size of the device according to the invention.
  • the armpit support is covered with a layer 70 of a flexible material.
  • the force exerted on the armpit support compresses the spring 50 and slightly bends the plate 62.
  • the compression of the spring 50 and the bending of the plate 62 thus have a shock-absorbing effect during use.

Abstract

The invention concerns a device comprising: a belt (1) designed to enclose the patient's waist; two rigid support elements (2), comprising each a longitudinal part (4) equipped at one end with a preferably curved part (5) whereon the patient can be supported through one arm pit; on the belt (1) in opposite lateral positions relative to the patient's body, two members (6) integral with said belt and comprising each a cylindrical housing (7) for removably receiving the corresponding end of the longitudinal part (4) of a support element (5) said housing (7) being so designed that a force exerted on the support element should be supported by the corresponding member (6) and consequently by the belt (1).

Description

DISPOSITIF DE SUPPORT LOMBAIRE LUMBAR SUPPORT DEVICE
La présente invention concerne un dispositif d'assistance à des personnes souffrant de douleurs dorsales, notamment de douleurs lombaires.The present invention relates to a device for assisting people suffering from back pain, in particular low back pain.
De très nombreuses personnes, de tous âges, sont affectées de douleurs pénibles et persistantes dans le dos, qui se manifestent aussi bien en position assise que debout. Ces douleurs ont la plupart du temps pour origine des déformations ou des défauts de la colonne vertébrale, qui n'apparaissent souvent que tardivement dans la vie des individus et peuvent résulter de l'adoption répétée de mauvaises positions, fréquemment dues à des nécessités professionnelles. Ces douleurs apparaissent même chez des sportifs confirmés ou chez des personnes qui, durant toute leur vie, pratiquent des activités physiques, sans aucune restriction. Divers médicaments aident à supporter ou à atténuer de telles douleurs, mais il est bien évident qu'en dehors de cas extrêmes, il est déconseillé d'avoir recours en permanence à des produits pharmaceutiques .Very many people, of all ages, suffer from painful and persistent pain in the back, which manifests itself both when sitting and standing. Most of the time these pains are caused by deformities or defects in the spine, which often appear only late in the life of individuals and can result from the repeated adoption of bad positions, frequently due to professional needs. These pains appear even in experienced athletes or in people who, during their whole life, practice physical activities, without any restriction. Various drugs help to support or alleviate such pain, but it is obvious that apart from extreme cases, it is not advisable to constantly use pharmaceutical products.
On a donc aussi proposé divers appareillages susceptibles de soulager les personnes affectées de ces problèmes de santé, par exemple des ceintures ou des corsets, mais ces -accessoires sont généralement de peu d'effet, causent une gêne sensible aux utilisateurs et sont pénibles à supporter par les grandes chaleurs.We have therefore also proposed various devices capable of relieving people affected by these health problems, for example belts or corsets, but these accessories are generally of little effect, cause significant discomfort to users and are difficult to endure in hot weather.
On peut aussi avoir recours à des béquilles ou à des dispositifs similaires, mais de tels systèmes sont incompatibles avec la vie courante et sont réservés à des cas extrêmes.Crutches or similar devices can also be used, but such systems are incompatible with everyday life and are reserved for extreme cases.
On connaît, par ailleurs, des dispositifs dans lesquels le patient prend appui par ses mains sur des poignées suspendues à sa ceinture, en vue de surélever ainsi par un effort des bras la partie supérieure de son corps et de soulager en conséquence l'effort supporté par sa colonne vertébrale (voir FR-A-2 595 566) .There are also known devices in which the patient is supported by his hands on handles suspended from his belt, with a view to thereby lifting the upper part of his body by an effort of the arms and consequently relieving the effort exerted by its spine (see FR-A-2 595 566).
En variante, dans ce même document, est décrite une forme de réalisation d'un tel dispositif, dans laquelle des demi-béquilles, destinées à venir se placer sous les aisselles du patient, sont chacune suspendues à une ceinture par un organe élastique tel qu'un ressort, une poignée sur laquelle prend appui manuellement le patient étant rigidement solidaire de la demi-béquille, de manière que les efforts ainsi exercés par le patient sur ces poignées soient transmis par les organes élastiques à la ceinture. Il est spécifié que "l'utilisateur doit normalement s ' appuyer sur les béquilles comme sur des cannes" et que "les aisselles, de ce fait, ne reposent pas sur les demi-béquilles", et "il n'y a contact, avec efforts des pectoraux et des dorsaux sur les demi-béquilles, que lors d'un relâchement éventuel des mains sur les demi-béquilles, par exemple pour libérer les mains".As a variant, in this same document, an embodiment of such a device is described, in which half-crutches, intended to be placed under the armpits of the patient, are each suspended from a belt by an elastic member such that 'a spring, a handle which is supported manually by the patient being rigidly secured to the half-stand, so that the forces thus exerted by the patient on these handles are transmitted by the elastic members to the belt. It is specified that "the user must normally lean on the crutches as on canes" and that "the armpits, therefore, do not rest on the half-crutches", and "there is no contact, with efforts of the pectorals and dorsals on the half crutches, only during a possible relaxation of the hands on the half crutches, for example to release the hands ".
La présente invention vise à proposer un dispositif comportant aussi des organes du type de ces demi-béquilles, sollicitées par le patient et transmettant les efforts exercés par celui-ci à une ceinture, mais, à la différence du dispositif de la technique antérieure, le patient prend appui par ses aisselles sur ces organes et a donc les mains libres, ce qui lui permet de se livrer sans problème à ses activités usuelles, notamment professionnelles, de conduire un véhicule automobile, de tenir, un livre ou un journal en position assise et, plus généralement, de marcher et de courir de façon tout-à-fait normale, etc.The present invention aims to provide a device also comprising organs of the type of these half-crutches, requested by the patient and transmitting the forces exerted by the latter to a belt, but, unlike the device of the prior art, the patient rests by his armpits on these organs and therefore has his hands free, which allows him to engage without problem in his usual activities, especially professional, driving a motor vehicle, to keep a book or a newspaper in a seated position and, more generally, to walk and run in a completely normal manner, etc.
L'invention a par conséquent pour objet un dispositif d'assistance à des personnes souffrant de douleurs dorsales, notamment de douleurs lombaires, qui comprend, comme décrit dans le brevet US 5 462 518 :The subject of the invention is therefore a device for assisting people suffering from back pain, in particular low back pain, which comprises, as described in US Pat. No. 5,462,518:
- une ceinture apte à enserrer la taille du patient et- a belt able to grip the patient's waist and
- deux éléments rigides d'appui, comportant chacun une partie longitudinale, équipée à une extrémité d'une partie de préférence incurvée sur laquelle le patient peut prendre appui par une aisselle, l'extrémité opposée de chaque élément rigide coopérant avec la ceinture de façon telle que 1 ' effort exercé sur cet élément d'appui soit supporté par la ceinture. A la différence du dispositif de FR-A-2 595 566, les éléments d'appui de ce dispositif supportent en permanence les aisselles du patient, en transmettant l'effort exercé par celles-ci à la ceinture et par conséquent aux hanches du patient, et en soulageant considérablement sa colonne vertébrale, sans pour autant nécessiter une immobilisation de ses mains.- two rigid support elements, each comprising a longitudinal part, equipped at one end with a preferably curved part on which the patient can bear by an armpit, the opposite end of each rigid element cooperating with the belt so such that the force exerted on this support element is supported by the belt. Unlike the device of FR-A-2 595 566, the support elements of this device permanently support the patient's armpits, transmitting the force exerted by them to the belt and therefore to the patient's hips , and considerably relieving his spine, without requiring immobilization of his hands.
Le dispositif conforme à l'invention est caractérisé en ce que sur la ceinture, en des positions latérales opposées par rapport au corps de l'utilisateur, on prévoit deux organes solidaires de cette ceinture qui sont en saillie vers 1 ' extérieur de cette dernière et chacun de ces organes comprend un logement en forme d'évidement cylindrique apte à recevoir 1 ' extrémité correspondante de la partie longitudinale de l'élément d'appui associé, cette extrémité pouvant coulisser librement dans le logement.The device according to the invention is characterized in that on the belt, in opposite lateral positions relative to the body of the user, there are provided two members integral with this belt which project outwardly from the latter and each of these members comprises a housing in the form of a cylindrical recess capable of receiving the corresponding end of the longitudinal part of the associated support element, this end being able to slide freely in the housing.
De cette manière, la transmission des efforts vers la ceinture s'effectue de façon plus efficace et plus robuste qu'avec le dispositif décrit dans le brevet US 5 462 518. En outre, les éléments rigides d'appui, ou demi-béquilles, présentent en direction verticale une bonne stabilité et 1 ' installation des extrémités des éléments rigides dans les logements correspondants s ' effectue de façon particulièrement aisée et sans danger pour l'utilisateur.In this way, the transmission of forces to the belt takes place more efficiently and more robustly than with the device described in US Pat. No. 5,462,518. In addition, the rigid support elements, or half crutches, have good stability in the vertical direction and 1 installation of the ends of the rigid elements in the corresponding housing is done in a particularly easy and safe for the user.
De préférence, les extrémités des parties longitudinales des éléments d'appui destinées à été engagées dans les logements des organes solidaires de la ceinture sont équipées d'un embout en un matériau déformable élastiquement, en caoutchouc par exemple, de manière à amortir les contacts entre ces extrémités et la partie du logement sur laquelle elles prennent appui. En variante, l'embout comporte un ressort.Preferably, the ends of the longitudinal parts of the support elements intended to be engaged in the housings of the members integral with the belt are equipped with an end piece made of an elastically deformable material, rubber for example, so as to absorb the contacts between these ends and the part of the housing on which they bear. Alternatively, the end piece includes a spring.
Ainsi, les éléments rigides d'appui peuvent être simples, peu encombrants et légers. Ce dispositif peut donc être aisément supporté par l'utilisateur et peut être facilement caché sous un vêtement et/ou associé à un vêtement. La partie opposée des éléments d'appui peut avantageusement comporter, du côté destiné à être tourné vers l'aisselle du patient, un revêtement en un matériau souple, apte à amortir le contact entre cette aisselle et cette partie et à améliorer le confort de l'utilisateur. La ceinture du dispositif a de préférence une longueur réglable et elle peut être de tout type connu, le terme de ceinture n'ayant aucun caractère limitatif au sens de la présente invention.Thus, the rigid support elements can be simple, compact and light. This device can therefore be easily supported by the user and can be easily hidden under a garment and / or associated with a garment. The opposite part of the support elements may advantageously comprise, on the side intended to be turned towards the patient's armpit, a coating made of a flexible material, capable of absorbing the contact between this armpit and this part and of improving the comfort of the 'user. The belt of the device preferably has an adjustable length and it can be of any known type, the term belt having no limiting character within the meaning of the present invention.
Dans une forme d'utilisation préférée de l'invention, les éléments d'appui ont une longueur réglable, permettant de les adapter à la morphologie de patients différents et, pour un même patient, d'ajuster leur longueur en fonction des conditions d'utilisation pour lui procurer un confort optimal.In a preferred form of use of the invention, the support elements have an adjustable length, making it possible to adapt them to the morphology of different patients and, for the same patient, to adjust their length according to the conditions of use to provide optimal comfort.
Dans ce but, la partie longitudinale des éléments d'appui peut comprendre deux parties, dont l'une, filetée extérieurement, est vissée dans u évidement cylindrique taraudé de l'autre partie.For this purpose, the longitudinal part of the support elements may comprise two parts, one of which, externally threaded, is screwed into a threaded cylindrical recess of the other part.
Dans le même but, chaque élément solidaire de la ceinture peut comporter à l'intérieur de l' évidement qu'il comporte un élément réglable en position sur lequel peut reposer l'extrémité de la partie longitudinale de l'élément d'appui associé .For the same purpose, each element integral with the belt may have inside the recess that it has an element adjustable in position on which can rest the end of the longitudinal part of the associated support element.
On notera que le dispositif conforme à l'invention, tout en soulageant de façon très appréciable les personnes qui souffrent d'un mal de dos, n'entrave en rien leurs mouvements et les laisse donc libres d'exercer une activité manuelle quelconque.It will be noted that the device according to the invention, while very appreciably relieving people who suffer from back pain, does not hinder their movements in any way and therefore leaves them free to exercise any manual activity.
Ce dispositif présente en outre l'avantage de pouvoir être dissimulé éventuellement aux regards, sous une veste, un veston ou un autre vêtement de l'utilisateur.This device also has the advantage of being able to be hidden, if necessary, from view, under the user's jacket, jacket or other clothing.
Pour diminuer encore plus le poids et 1 ' encombrement, dans une réalisation, chaque élément rigide d'appui présente une forme aplatie. Dans ce cas, on peut prévoir que le support d'aisselle soit en saillie d'un seul côté de l'extrémité correspondante, plate, de l'élément rigide d'appui. Dans ces conditions, l'élément rigide peut être plaqué contre le corps de l'utilisateur et l'effort exercé par l'utilisateur sur l'élément d'appui, du fait de la position de ce dernier entre les aisselles et la ceinture, tend à courber l'élément rigide d'appui vers l'extérieur, ce qui contribue à l'amortissement du fait des propriétés élastiques du matériau, tel qu'un métal, constituant 1 ' élément rigide d'appui .To further reduce the weight and one size, in one embodiment, each rigid support member has a flattened shape. In this case, provision can be made for the armpit support to project from one side only of the corresponding flat end of the rigid support element. Under these conditions, the rigid element can be pressed against the body of the user and the force exerted by the user on the support element, due to the position of the latter between the armpits and the belt, tends to bend the rigid support element outwards, which contributes to damping due to the elastic properties of the material, such as a metal, constituting one rigid support element.
Lorsque la partie longitudinale de chaque élément d'appui comprend deux parties pour permettre un réglage de sa longueur, une partie (par exemple celle présentant l'extrémité de laquelle est solidaire le support d'aisselle) se présente, dans une réalisation, sous la forme d'une règle plate comportant une pluralité de trous traversant son épaisseur de façon à permettre sa fixation à la seconde partie, également plate, ayant la forme d'un fourreau aplati et comportant au moins un trou dans chacune de ses faces en regard pour permettre l'introduction d'une vis ou d'un autre élément de fixation. Ainsi, on peut régler la longueur de l'élément rigide en choisissant le trou de la règle plate qu'on installe en face des trous du fourreau. En variante, pour permettre le réglage de la longueur -de l'élément d'appui, c'est le fourreau qui présente une pluralité de trous alors que la règle plate peut ne présenter qu'un seul trou.When the longitudinal part of each support element comprises two parts to allow an adjustment of its length, a part (for example that having the end of which the armpit support is secured) is, in one embodiment, under the shape of a flat ruler comprising a plurality of holes passing through its thickness so as to allow its attachment to the second part, also flat, having the shape of a flattened sheath and comprising at least one hole in each of its opposite faces for allow the insertion of a screw or other fixing element. Thus, one can adjust the length of the rigid element by choosing the hole of the flat rule that is installed opposite the holes of the sleeve. Alternatively, to allow adjustment of the length of the support element, it is the sheath which has a plurality of holes while the flat rule may have only one hole.
Dans une réalisation, pour optimiser la solidarisâtion avec la ceinture de chaque organe en saillie, la hauteur de chacun de ces organes est sensiblement égale à la largeur de la ceinture, les bords inférieur et supérieur de cet organe étant sensiblement en correspondance avec les bords inférieur et supérieur- de la ceinture. D'autres caractéristiques et avantages de l'invention apparaîtront dans la description détaillée qui va suivre d'une forme de réalisation de ce dispositif. Dans cette description, on se référera aux dessins schématiques annexés, qui n'ont bien entendu aucun caractère limitatif et sur lesquels : La figure 1 est une vue en perspective éclatée du dispositif ;In one embodiment, to optimize the connection with the belt of each protruding member, the height of each of these members is substantially equal to the width of the belt, the lower and upper edges of this member being substantially in correspondence with the lower edges and upper- of the belt. Other characteristics and advantages of the invention will appear in the detailed description which follows of an embodiment of this device. In this description, reference will be made to the appended schematic drawings, which of course have no limiting character and in which: FIG. 1 is an exploded perspective view of the device;
La figure 2 est une vue en perspective d'un patient, équipé du dispositif conforme à 1 ' invention en position d'utilisation ; La figure 3 est une vue en élévation, avec coupe partielle, d'une variante de l'élément d'appui du dispositif de la figure 1 ;Figure 2 is a perspective view of a patient, equipped with the device according to one invention in the position of use; Figure 3 is an elevational view, partly in section, of a variant of the support element of the device of Figure 1;
La figure 4 est une vue en coupe partielle d'une autre réalisation du dispositif conforme à l'invention, cette vue montrant une partie d'une ceinture et un élément d'appui ;Figure 4 is a partial sectional view of another embodiment of the device according to the invention, this view showing part of a belt and a support element;
La figure 5 est une vue selon la ligne 5-5 de la figure 4.Figure 5 is a view along line 5-5 of Figure 4.
Le dispositif illustré par la figure 1 comporte une ceinture 1 de longueur réglable, apte à supporter deux éléments rigides d'appui 2, indépendants de la ceinture 1 et destinés à supporter eux-mêmes la partie supérieure du corps d'une personne 3 , comme on le voit sur la figure 2.The device illustrated in Figure 1 comprises a belt 1 of adjustable length, capable of supporting two rigid support elements 2, independent of the belt 1 and intended to support themselves the upper part of the body of a person 3, as seen in Figure 2.
Dans ce but, chaque élément d'appui 2 comporte une partie longitudinale sensiblement rectiligne 4, dont est solidaire ' à une extrémité une partie 5 incurvée en forme de fourche, . qui peut être placée pour la supporter sous une aisselle de la personne 3 à assister.For this purpose, each support element 2 comprises a substantially straight longitudinal portion 4, of which is integral ' at one end with a curved portion 5 in the form of fork,. which can be placed to support it under an armpit of the person 3 to assist.
De son côté, la ceinture 1 est équipée, en deux emplacements opposés destinés à être disposés suivant les hanches du patient, de deux organes 6 faisant saillie latéralement, dans chacun desquels est ménagé un évidement cylindrique 7, apte à recevoir l'extrémité libre de la partie longitudinale 4 d'un élément d'appui 2.For its part, the belt 1 is equipped, in two opposite locations intended to be arranged along the patient's hips, with two members 6 projecting laterally, in each of which is provided a cylindrical recess 7, capable of receiving the free end of the longitudinal part 4 of a support element 2.
Cet évidement cylindrique peut comporter un fond fixe en position, sur lequel prend appui l'extrémité de la partie 4, ou un élément réglable en position, par exemple une vis 8, équipée d'un contre-écrou 9 et vissée dans une partie taraudée du fond de l' évidement 7, l'extrémité de la partie 4 reposant alors sur l'extrémité libre de la vis 8, de manière à pouvoir ajuster à la taille du patient la hauteur de la partie 5 par rapport à la ceinture.This cylindrical recess may include a bottom fixed in position, on which the end of the part 4 is supported, or an element adjustable in position, for example a screw 8, equipped with a lock nut 9 and screwed into a tapped part. from the bottom of the recess 7, the end of the part 4 then resting on the free end of the screw 8, so that the height of the part 5 relative to the belt can be adjusted to the size of the patient.
Comme on le voit sur la figure 2, le patient peut ainsi prendre appui par ses aisselles sur les parties 5 des éléments 2, qui transmettent par conséquent à la ceinture 1 1 ' effort exercé par le poids de la partie supérieure de son corps, en redressant ainsi ses épaules et en soulageant d'autant la contrainte exercée sur sa colonne vertébrale.As seen in Figure 2, the patient can thus bear by his armpits on the parts 5 of the elements 2, which consequently transmit to the belt 1 1 the force exerted by the weight of the upper part of his body, in thus straightening his shoulders and thereby relieving the stress exerted on his spine.
Ainsi qu'il a été indiqué ci-dessus, l'extrémité libre de la partie rectiligne des éléments d'appui 2 peut avantageusement être équipée d'un organe d'amortissement 10, par exemple un embout en un matériau élastique tel que le caoutchouc, tandis qu'une couche d'un matériau souple tel qu'une mousse de matière plastique peut équiper la surface des parties 5 sur laquelle prend appui le patient, pour améliorer le confort de celui-ci.As indicated above, the free end of the straight part of the support elements 2 can advantageously be equipped with a damping member 10, for example a nozzle made of an elastic material such as rubber. , while a layer of a flexible material such as plastic foam can equip the surface of the parts 5 on which the patient is supported, to improve the comfort of the latter.
Des éléments de renfort peuvent naturellement être prévus sur la ceinture 1 et celle-ci peut être de tout autre type que celui représenté sur le dessin.Reinforcement elements can naturally be provided on the belt 1 and the latter can be of any other type than that shown in the drawing.
Des moyens autres que ceux représentés sur la figure 1 peuvent être utilisés pour ajuster la longueur utile de l'élément, d'appui à la taille du patient. Comme représenté sur la figure 3, il est possible, par exemple, de réaliser la partie longitudinale des éléments d'appui 2 en deux parties 4a, 4b, assemblées de façon réglable en position, la partie 4b étant amovible et comportant une portion filetée extérieurement, qui est vissée dans un évidement taraudé de la partie 4a attenante à la partie 5.Means other than those shown in FIG. 1 can be used to adjust the useful length of the element, supporting the size of the patient. As shown in FIG. 3, it is possible, for example, to produce the longitudinal part of the support elements 2 in two parts 4a, 4b, assembled in an adjustable manner in position, the part 4b being removable and having an externally threaded portion , which is screwed into a threaded recess in part 4a adjoining part 5.
On notera la très grande simplicité du dispositif conforme à l'invention et sa facilité d'utilisation. II est particulièrement avantageux, en particulier, qu'il permette au patient d'avoir ses mains libres et que celui- ci puisse en disposer aussi bien en position assise que debout et notamment pour conduire un véhicule automobile.Note the great simplicity of the device according to the invention and its ease of use. It is particularly advantageous, in particular, that it allows the patient to have his hands free and that the latter can have it both in the seated and standing position and in particular for driving a motor vehicle.
Le dispositif conforme à l'invention apporte un soulagement considérable à toutes les personnes qui souffrent du dos et l'on mentionnera en particulier parmi ces dernières, les conducteurs de tracteurs, de véhicules à usage agricole et d'engins de travaux publics, qui sont soumis à de sévères conditions de travail et pour lesquels le dispositif décrit ci- dessus se révèle remarquablement bénéfique.The device according to the invention brings considerable relief to all people who suffer from the back and we will mention in particular among these, drivers of tractors, vehicles for agricultural use and public works machines, which are subject to severe working conditions and for which the device described above proves to be remarkably beneficial.
Dans le mode de réalisation représenté sur les figures 4 et 5, l'organe 16 fixé à la ceinture 11 se présente sous la forme d'une plaque métallique épaisse appliquée sur la face extérieure 20 de cette ceinture par l'intermédiaire d'éléments d'assemblage tels que quatre vis 22]_, 222 des deu autres vis n'ont pas été représentées sur la figure 5) coopérant avec des trous taraudés 24]_, 242, 243, 244 (figure 4) de l'organe 16 et traversant des trous de la ceinture 11.In the embodiment shown in Figures 4 and 5, the member 16 fixed to the belt 11 is in the form of a thick metal plate applied to the outer face 20 of this belt by means of elements d assembly such as four screws 22] _, 222 d are deu other screws have not been shown in Figure 5) cooperating with tapped holes 24] _, 24 2, 24 3, 24 4 (Figure 4) of member 16 and passing through holes in the belt 11.
Pour que les efforts verticaux exercés par la tige correspondante 26 soient transmis de façon efficace à la ceinture 11, la hauteur de l'organe 16 est égale à, ou peu différente de, la largeur de la ceinture, le bord inférieur 28 de l'organe 16 étant peu éloigné du bord inférieur 30 de la ceinture ou en coïncidence avec de dernier et, de même, le bord supérieur 32 de l'organe 16 étant peu éloigné du bord supérieur 34 de la ceinture, ou pratiquement en coïncidence avec ce bord.So that the vertical forces exerted by the corresponding rod 26 are transmitted effectively to the belt 11, the height of the member 16 is equal to, or little different from, the width of the belt, the lower edge 28 of the member 16 being not far from the lower edge 30 of the belt or in coincidence with the last and, likewise, the edge upper 32 of the member 16 being little distant from the upper edge 34 of the belt, or practically coincident with this edge.
L'organe 16 comporte un logement 27 destiné à recevoir, de façon amovible, l'extrémité inférieure de l'élément rigide 26.The member 16 comprises a housing 27 intended to receive, in a removable manner, the lower end of the rigid element 26.
Comme dans le mode de réalisation représenté sur les figures 1 et 2, le fond 36 du logement 27 est prolongé vers le bas par un trou taraudé 38 destiné à recevoir la partie filetée d'une vis 40 dont l'extrémité, à l'opposé de sa tête, peut pénétrer à l'intérieur du logement 27, à partir du fond 36, pour réduire la profondeur de ce logement 27.As in the embodiment shown in Figures 1 and 2, the bottom 36 of the housing 27 is extended downwards by a tapped hole 38 intended to receive the threaded part of a screw 40 whose end, opposite of its head, can penetrate inside the housing 27, from the bottom 36, to reduce the depth of this housing 27.
L'extrémité inférieure de l'élément rigide 26 comporte un tube cylindrique 44 de diamètre extérieur légèrement inférieur au diamètre intérieur du logement 27 et ce tube 44 loge à sa partie supérieure un élément cylindrique 46, par exemple en matière plastique, fixé dans le tube 44 par l'intermédiaire d'une goupille 48. L'élément 46 présente à sa partie inférieure un trou cylindrique logeant 1 ' extrémité supérieure d'un ressort 50. L'extrémité inférieure du ressort 50 est disposée dans l'ouverture supérieure d'un autre organe 52 en matière plastique dont la partie inférieure est en saillie vers le bas du tube 44 et dont 1 ' extrémité tournée vers le bas présente une base 54 de diamètre légèrement supérieur à son corps et destinée à s'appuyer contre le fond 36 du logement 27 ou contre l'extrémité de la vis 40.The lower end of the rigid element 26 comprises a cylindrical tube 44 with an external diameter slightly smaller than the internal diameter of the housing 27 and this tube 44 houses at its upper part a cylindrical element 46, for example made of plastic, fixed in the tube 44 by means of a pin 48. The element 46 has at its lower part a cylindrical hole housing the upper end of a spring 50. The lower end of the spring 50 is disposed in the upper opening of another organ 52 made of plastic, the lower part of which projects downwards from the tube 44 and the downwardly turned end of which has a base 54 of diameter slightly greater than its body and intended to bear against the bottom 36 of the housing 27 or against the end of the screw 40.
L'organe 52 en matière plastique peut coulisser dans le tube 44 et est maintenu solidaire de ce dernier par une fixation (non montrée), de cet organe à l'extrémité inférieure du ressort 50. Cette fixation peut être un simple emmanchage à force du ressort dans l'ouverture de l'organe 52.The plastic member 52 can slide in the tube 44 and is held integral with the latter by a fixing (not shown), of this member at the lower end of the spring 50. This fixing can be a simple engagement by force of the spring in the opening of the member 52.
Le tube 44 est prolongé vers le haut par un fourreau plat 56 dont les faces en regard 58χ, 582 présentent chacune au moins une ouverture destinée à être traversée par une vis 60. • Le fourreau plat 56 est ouvert vers le .haut pour permettre de recevoir 1 ' extrémité supérieure en forme de règle plate 62 de l'élément rigide 26. Cette règle plate 62 comporte une pluralité d'ouvertures 64χ, 642, etc- réparties sur sa longueur et destinées à être traversées par la vis 60. La longueur de l'organe 26 dépend, bien entendu, du choix du trou 64Q_, 642, etc. qui doit être traversé par la vis 60.The tube 44 is extended upwards by a flat sheath 56 whose opposite faces 58χ, 582 each have at least one opening intended to be crossed by a screw 60. • The flat sheath 56 is open towards the top to allow receiving the upper end in the form of a flat rule 62 of the rigid element 26. This flat rule 62 comprises a plurality of openings 64χ, 642, etc. - distributed over its length and intended to be crossed by the screw 60. The length of the member 26 depends, of course, on the choice of the hole 64 Q _, 642, etc. which must be crossed by the screw 60.
Enfin, le support d'aisselle 42 comporte une pièce d'un seul tenant à l'extrémité supérieure de la règle plate 62. Ce support 42 est en saillie d'un seul côté 66Q_ de la règle plate 62, ce côté
Figure imgf000012_0001
étant celui qui est opposé à la ceinture 11. Dans ces conditions, l'autre face 662 de la règle 62 peut être appliquée contre le corps de l'utilisateur, ce qui minimise l'encombrement du dispositif selon l'invention. Comme dans la réalisation décrite en relation avec les figures 1 et 2, le support d'aisselle est recouvert d'une couche 70 d'un matériau souple.
Finally, the armpit support 42 comprises a piece in one piece at the upper end of the flat rule 62. This support 42 projects from one side 66Q_ of the flat rule 62, this side
Figure imgf000012_0001
being that which is opposite to the belt 11. Under these conditions, the other face 662 of the rule 62 can be applied against the body of the user, which minimizes the size of the device according to the invention. As in the embodiment described in connection with Figures 1 and 2, the armpit support is covered with a layer 70 of a flexible material.
L'effort exercé sur le support d'aisselle comprime le ressort 50 et fait légèrement fléchir la plaque 62. La compression du ressort 50 et la flexion de la plaque 62 ont ainsi un effet d'amortissement des chocs lors de l'utilisation. The force exerted on the armpit support compresses the spring 50 and slightly bends the plate 62. The compression of the spring 50 and the bending of the plate 62 thus have a shock-absorbing effect during use.

Claims

REVENDICATIONS
1. Dispositif d'assistance à des personnes souffrant de douleurs dorsales, notamment de douleurs lombaires, comprenant :1. Device for assisting people suffering from back pain, in particular low back pain, comprising:
- une ceinture (1 ; 11) , apte à enserrer la taille du patient (3) , et- a belt (1; 11), able to grip the patient's waist (3), and
- deux éléments rigides d'appui (2) comportant chacun une partie longitudinale (4 ; 26) , équipée à une extrémité d'une partie (5 ; 42) de préférence incurvée, sur laquelle le patient peut prendre appui par une aisselle, l'extrémité opposée de chaque élément rigide coopérant avec la ceinture de façon telle que 1 ' effort exercé sur cet élément d' appui soit supporté par la ceinture, caractérisé en ce que sur la ceinture (1) , en des positions latérales opposées par rapport au corps de l'utili- sateur, il comprend deux organes (6 ; 16) solidaires de cette ceinture, en saillie vers l'extérieur de cette dernière, et comportant chacun un logement (7 ; 27) en forme d'évidement cylindrique et apte à recevoir 1 ' extrémité correspondante de la partie longitudinale (4 ; 44) d'un élément d'appui, cette extrémité pouvant coulisser librement dans le logement.- two rigid support elements (2) each comprising a longitudinal part (4; 26), equipped at one end with a part (5; 42) preferably curved, on which the patient can be supported by an armpit, l 'opposite end of each rigid element cooperating with the belt so that the force exerted on this support element is supported by the belt, characterized in that on the belt (1), in opposite lateral positions relative to the body of the user, it comprises two members (6; 16) integral with this belt, projecting outwards from the latter, and each comprising a housing (7; 27) in the form of a cylindrical recess and suitable receiving the corresponding end of the longitudinal part (4; 44) of a support element, this end being able to slide freely in the housing.
2. Dispositif selon la revendication 1, caractérisé en ce que la hauteur de chaque organe (6 ; 16) en saillie vers 1 ' extérieur de la ceinture est sensiblement égale à la largeur de cette ceinture, les bords inférieur (28) et supérieur (32) de chaque organe en saillie de la ceinture étant respectivement sensiblement en correspondance avec les bords inférieur (36) et supérieur (34) de la ceinture.2. Device according to claim 1, characterized in that the height of each member (6; 16) projecting towards the outside of the belt is substantially equal to the width of this belt, the lower (28) and upper edges ( 32) of each protruding member of the belt being respectively substantially in correspondence with the lower (36) and upper (34) edges of the belt.
3. Dispositif selon la revendication 1 ou 2, caractérisé en ce que l'extrémité des parties longitudinales (4) des éléments d'appui (2 ; 26) destinée à être engagée dans l' évidement (7 ; 27) des organes (6 ; 16) est équipée d'un dispositif d'amortissement. 3. Device according to claim 1 or 2, characterized in that the end of the longitudinal parts (4) of the support elements (2; 26) intended to be engaged in the recess (7; 27) of the members (6 ; 16) is fitted with a damping device.
.4. Dispositif selon la revendication 3, caractérisé en ce que le dispositif d'amortissement comporte un embout (10) en matière élastique..4. Device according to claim 3, characterized in that the damping device comprises an end piece (10) made of elastic material.
5. Dispositif selon la revendication 3, caractérisé en ce que le dispositif d'amortissement comporte un ressort (50) logé dans une extrémité tubulaire (44) de l'élément d'appui (26) et coopérant avec un embout (52) en saillie de l'extrémité tubulaire.5. Device according to claim 3, characterized in that the damping device comprises a spring (50) housed in a tubular end (44) of the support element (26) and cooperating with an end piece (52) in protrusion from the tubular end.
6. Dispositif selon l'une des revendications précédentes, caractérisé en ce que la surface des parties (5) des éléments d'appui (2) destinée à venir au contact des aisselles du patient est revêtue d'une couche en un matériau souple .6. Device according to one of the preceding claims, characterized in that the surface of the parts (5) of the support elements (2) intended to come into contact with the patient's armpits is coated with a layer of flexible material.
7. Dispositif selon l'une des revendications 1 à 6, caractérisé en ce que la partie (5 ; 42) de support d'aisselle de chaque élément d'appui et l'organe (6 ; 26) associé occupent des positions relatives réglables l'un par rapport à l'autre.7. Device according to one of claims 1 to 6, characterized in that the part (5; 42) of armpit support of each support element and the member (6; 26) associated occupy adjustable relative positions relative to each other.
8. Dispositif selon la revendication 7, caractérisé en ce que chaque organe (6 ; 16) en saillie de la ceinture comprend à l'intérieur de l' évidement (7 ; 27) qu'il comporte un élément (8 ; 40) réglable en position sur lequel peut reposer l'extrémité de la partie longitudinale de l'élément d'appui associé .8. Device according to claim 7, characterized in that each member (6; 16) projecting from the belt comprises inside the recess (7; 27) that it comprises an element (8; 40) adjustable in the position on which the end of the longitudinal part of the associated support element can rest.
9. Dispositif selon la revendication 8, caractérisé en ce que l'élément (8 ; 40) comprend une vis apte à être vissée en position réglable dans un orifice taraudé du fond de l' évidement (7 ; 36) .9. Device according to claim 8, characterized in that the element (8; 40) comprises a screw capable of being screwed in an adjustable position in a threaded orifice at the bottom of the recess (7; 36).
10. Dispositif selon l'une des revendications 7 à 9, caractérisé en ce que la partie longitudinale des éléments d'appui (2 ; 26) a une longueur réglable.10. Device according to one of claims 7 to 9, characterized in that the longitudinal part of the support elements (2; 26) has an adjustable length.
11. Dispositif selon la revendication 10, caractérisé en ce que la partie longitudinale des éléments d'appui (2) comporte deux parties (4a, 4b ; 56, 62), assemblables entre elles de façon réglable en position. •12. Dispositif selon la revendication 11, caractérisé en ce que l'extrémité de l'élément rigide d'appui 26 qui est équipé de la partie (42) du support d'aisselle a une forme sensiblement plate et coopère avec un fourreau également sensiblement plat (56), la position de l'extrémité plate dans le fourreau plat étant réglable en position. 11. Device according to claim 10, characterized in that the longitudinal part of the support elements (2) comprises two parts (4a, 4b; 56, 62), which can be assembled together so as to be adjustable in position. • 12. Device according to claim 11, characterized in that the end of the rigid support element 26 which is equipped with the part (42) of the armpit support has a substantially flat shape and cooperates with a sheath which is also substantially flat ( 56), the position of the flat end in the flat sleeve being adjustable in position.
13. Dispositif selon l'une des revendications précédentes, caractérisé en ce que la partie longitudinale de chaque élément rigide d'appui (26) comporte un élément plat (62) prolongé par la partie (42) de support d'aisselle, cette partie (42) de support d'aisselle étant en saillie de la face {66η7) de l'élément plat qui est opposée à la ceinture (11) . 13. Device according to one of the preceding claims, characterized in that the longitudinal part of each rigid support element (26) comprises a flat element (62) extended by the part (42) of armpit support, this part (42) of armpit support projecting from the face (66η7) of the flat element which is opposite the belt (11).
PCT/FR2001/003841 2000-12-06 2001-12-05 Lumbar support device WO2002045631A1 (en)

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FR00/15799 2000-12-06
FR0015799A FR2817464B1 (en) 2000-12-06 2000-12-06 DEVICE FOR ASSISTING PEOPLE WITH BACKBACK PAIN, ESPECIALLY LUMBAR PAIN

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WO2010089711A1 (en) * 2009-02-09 2010-08-12 Sumsmart Ip Limited Back brace
CN106108460A (en) * 2016-08-23 2016-11-16 孟村 A kind of human body oxter that is supported in reduces the supporting mechanism of lumbar vertebra pressure
WO2020128709A1 (en) * 2018-12-21 2020-06-25 Sumsmart Ip Limited Armpit support

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WO2010089711A1 (en) * 2009-02-09 2010-08-12 Sumsmart Ip Limited Back brace
CN106108460A (en) * 2016-08-23 2016-11-16 孟村 A kind of human body oxter that is supported in reduces the supporting mechanism of lumbar vertebra pressure
WO2020128709A1 (en) * 2018-12-21 2020-06-25 Sumsmart Ip Limited Armpit support
GB2594216A (en) * 2018-12-21 2021-10-20 Lifbak Ltd Armpit support
GB2594216B (en) * 2018-12-21 2022-09-07 Lifbak Ltd Armpit support

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FR2817464B1 (en) 2003-09-05
AU2002216179A1 (en) 2002-06-18
FR2817464A1 (en) 2002-06-07

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