WO2011034557A1 - Dispositif de réinitialisation portatif et procédé d'utilisation - Google Patents

Dispositif de réinitialisation portatif et procédé d'utilisation Download PDF

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Publication number
WO2011034557A1
WO2011034557A1 PCT/US2010/001459 US2010001459W WO2011034557A1 WO 2011034557 A1 WO2011034557 A1 WO 2011034557A1 US 2010001459 W US2010001459 W US 2010001459W WO 2011034557 A1 WO2011034557 A1 WO 2011034557A1
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WO
WIPO (PCT)
Prior art keywords
arm
shoulder
support
recited
resetting
Prior art date
Application number
PCT/US2010/001459
Other languages
English (en)
Inventor
Peter Horvath
Original Assignee
Peter Horvath
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
Priority claimed from US12/586,224 external-priority patent/US9931237B2/en
Application filed by Peter Horvath filed Critical Peter Horvath
Publication of WO2011034557A1 publication Critical patent/WO2011034557A1/fr

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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
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • A61F5/048—Traction splints

Definitions

  • the present invention relates generally to medical systems for use in the treatment of injuries, and, in particular, relates to a device for treating joint injuries, and, in great particularity, relates to a device for resetting a joint dislocation, and in greater particularity, relates to an electro-mechanical means for controlling the treatment to minimize pain and the use of anesthesia.
  • Patent 5, 997,494 according to which a quantity of fixed weights depending on the patient's physical condition and the state of the dislocation (advantageously with a mass of 4.5-12 kg) is placed in a weight container connected to a cuff attached to the lower arm of the patient.
  • water may be added to a container in an increasing amount; in this manner, a smooth extension can be achieved.
  • the above methods may present one or more disadvantages to the patient.
  • the position of the arm changes during pulling by manual force thus causing pain.
  • the present invention is thus achieved by a portable resetting device that overcomes the above disadvantages and provides a device that assures painless reduction of the shoulder dislocation.
  • the device of the present invention is directed at a goal of providing a pain-free position while relocating the humerus head into the tablet.
  • the device of the present invention for reduction of a shoulder dislocation provides a portable resetting device having an underarm support of adjustable height upon a pedestal with the resetting device being located near to a chair having the patient therein and the injured arm on the same side as the resetting device.
  • the resetting device is portable and thus may be readily moved to the patient.
  • a traction structure suitable for transmitting a mechanical force in a downward direction to the injured arm is mounted to a lower support that is further mounted to the top of the pedestal.
  • the traction structure has the lower support/section/part connected to the pedestal.
  • a computer controllable motor is operatively connected between the lower support and the pedestal so that an angle of tilt may be placed thereon.
  • An arm-holding plate that serves to hold the injured arm is attached to the lower support having arm holding supports and/or cuffs attached that keep the arm in a bent and fixed position; the arm-holding plate and the lower support of the traction structure are slideably connected to each other so as to permit them to move in the longitudinal direction with respect to each other by means of another computer controllable motor operatively connected therebetween.
  • An auxiliary arm support is operatively connected by a controllable motor on the lower support.
  • the pedestal includes the controllable motors for moving the lower support in angular displacement and for adjustment in the height of the underarm support.
  • Appropriate electronic circuits are provided to control the motors, to display device information, and to remotely control the motors.
  • the resetting device may further be connected through a network or the Internet to a central office where patient treatment information may be placed in a database and a treatment plan provided.
  • the resetting device may be a stand-alone device, or may
  • one aspect of the present invention is a traction structure adjustable through an angle of about 20 to about 50 degrees with respect to a vertical plane, and even more advantageously between 30 and 40 degrees;
  • FIG. 1A is a front-side perspective view of a resetting device of the present invention.
  • FIG. IB is an x-ray view of a top of a pedestal of the resetting device
  • FIG. 1C is an x-ray view of a bottom of the pedestal of FIG.S 1A and
  • FIG. ID is a partial perspective view of a traction structure with the arm-holding plate partially deployed
  • FIG. IE is a partial view of an underarm support and auxiliary arm support
  • FIG. IF is a top view of a lower support of the traction structure
  • FIG. 2 is a diagram showing the resetting device communicating to a support program
  • FIG. 3 is an electrical block diagram for the resetting device of the present invention.
  • FIG. 4 is a front view of a remote controller for operating the resetting device of the present invention.
  • FIG. 5 is a flow diagram for operating the resetting device of the present invention.
  • FIG. 6 is a flow chart for a reduction program
  • FIG.S 1A to IF illustrate a resetting device 100
  • FIG. 1A which is a front-side perspective view of an embodiment of the resetting device 100.
  • FIG. 1 A a right side injured shoulder, for example, not shown, is supported by an underarm support 102 having an underarm support member 103.
  • a patient, not shown, is sitting in a chair, not shown, facing the front with the right arm, not shown, over the underarm support member 103 with the armpit resting against the underarm support member 103.
  • the height of the underarm support 102 can be adjusted by a computer controlled motor 104, FIG. 1C, located in a base 106 of a pedestal 108 of the resetting device 100. It should be understood that the controlled motors driving a screw may be otherwise accomplished in that function. Forces, distances and angles may be visibly measured by scales attached to the appropriate devices.
  • the pedestal 108 has a lower section 170 and an upper section 172 that telescopes out of the lower section 170.
  • the control motor 104 drives a screw 105 that is rotatably attached to an end plate 109 located in the upper section 172.
  • the base 106 has a triangular set of feet 110.
  • a traction structure 112 is adjustably attached to a lower support 114. Attached to the upper part of the lower support 114 is an auxiliary arm support 122 having an auxiliary arm support member 162 that is parallel to the underarm support member 103.
  • the traction structure 112 is adjustably attached to the pedestal 108 at a top mount 148.
  • An arm-holding plate 136 is translatably mounted to the lower support 114 and moves along a pair of slides 140, FIG. ID.
  • a tilt angle a, FIG. 1A, between the traction structure 112 and a vertical axis 116 of the pedestal 108 is adjustable through a tilt angle computer controlled motor 124 mounted in the upper section 172 of the pedestal 108, FIG. IB.
  • the motor 124 turns a screw 142 that translates a platform 144 therein.
  • Pivotally mounted to the platform 144 is an arm 146 that is further mounted pivotally to the backside of the lower support 114. As the platform 144 is raised, the arm 146 pushes up the lower support 114 which is further pivotally mounted to the top mount 148.
  • the translation of the platform 144 causes the lower support 144 to pivot off of the top mount 148.
  • the movement of the arm-holding plate 136, FIG.S 1A, ID and IE, is adjustable through a force providing computer controlled motor 118 that is also adjustable.
  • the motor 118 is mounted in the lower support 114 and drives a screw 150, FIG. IF, that has a translatable bracket 152 mounted thereto that is further mounted to a backside of the arm-holding plate 136.
  • a further feature of the resetting device 100 is an auxiliary arm support 122, FIG.S 1A, ID, IE, and IF, that may be moved to a distal location parallel to the underarm support member 103.
  • An auxiliary arm support computer controlled motor 120 FIG. IF, is located in the lower support 114 of the traction structure 112 and is adjustable and drives linkage 128 that causes the auxiliary arm support member 162 to rotate about a pivot 130.
  • the motor 120 drives a screw 154 that has a translatable bracket 156 thereon.
  • the bracket 156 has a lower arm 158 pivotally attached thereto and is further pivotally connected to an upper arm 160 that is connected to the auxiliary arm support member 162. As the bracket 156 is moved up, for example, the lower arm 158 pushes the upper arm 160 up also and causes the member 162 to move away from the parallel underarm support member 103 by rotating on the pivot 130.
  • auxiliary arm support 122 becomes important if the traction force on the stabilized arm in the pulling direction, as shown by an arrow 132, FIG. 1, is insufficient by itself to reset the dislocated shoulder. In this case, repositioning is achieved by actuating the motor 120 that acts through linkage 128 to move the auxiliary arm support member 162 away from the body by means of the pivot 130; thus exerting an additional outward pressure on the upper arm.
  • the patient is made to sit in a chair adjacent to the resetting device 100.
  • the underarm support member is made to sit in a chair adjacent to the resetting device 100.
  • the angle a of the traction structure 112 is set and fixed corresponding to a pain-free position as determined by the treating doctor.
  • the traction structure 112 is able to rotate over an angle a, wherein the angle a ranges from about 20 to 50 degrees with respect to a vertical plane, and more effectively in a range between about 30 to about 40 degrees.
  • the lower arm of the patient is stabilized in a bent position with the aid of the supports attached to the arm-holding plate 136.
  • the patient may be secured in the chair to prevent undesired movements that may result during the treatment.
  • the traction force in direction 132, is initially set to start at 50 N (MKS system, Newton).
  • the traction force is set with the aid of a remote controller 400 as shown in FIG. 4.
  • the remote controller 400 may communicate to a computing device 302, FIG. 3, by hardwire or by RF or by JR. sensor 402. Further, the information presented and actions needed may also be taken and shown on a display of the computing device 302.
  • the power to the resetting device 100 is turned on by pressing a power button 408 that may be illuminated green when actuated.
  • a power shut off button 404 or kill switch is used to immediately stop the procedure and return the resetting device 100 to its initial or default settings.
  • a start/stop button 410 is used to stop the treatment temporarily so that adjusts can be made and then restarted.
  • the initial settings or adjust settings are entered via a set 412 of switches that control the motors on the resetting device 100. Normally the switches are off unless either an up button 414 or down button 416 are actuated. Buttons 414 and 416 are for controlling the height of the underarm support 102 by adjusting the height of the pedestal 108.
  • Optionally related information may be shown in a remote controller display 418. For example, an angle switch 420 when either actuated up 422 or down 424 will then display the actual angle in degrees.
  • An auxiliary arm support switch 426 having an up 428 and a down 430 switch will then display the angle in the display 418.
  • a force button 432 with an up 434 and a down 436 buttons when actuated will then display the force in metric Newtons or English pounds.
  • the appropriate motor will adjust the device in a controlled manner, from the last setting, not to cause any alarm or pain in the patient.
  • the force button 432 may be tapped to cause the force to come up to the desired level.
  • a light within the button may flash when this adjustment is being made. This is within the control of the treating doctor based upon the conditions of the patient.
  • the traction is started by pushing the start button 410.
  • the force motor will start to increase the force on the arm-holding plate in a downward direction.
  • the traction is continued for about 1 minute, then the traction force is increased in steps of 25 N at further 1 -minute intervals (to a maximum of 200 N).
  • the extension may be further observed with the aid of a scale attached between the arm-holding plate 136 and the lower support 114 of the traction structure 112. If repositioning does not occur, then the auxiliary arm support 122 is moved away from the body as desired. As this is done, an additional force appears in the outward direction, perpendicular to the axis of the extended position of the joint.
  • FIG. 5 illustrates by flow chart the steps required in the treatment of a patient using the resetting device 100 of the present invention.
  • Patent information is taken in step 502 which would include sex, age, weight, height, present medication, nature of the injury, whether it has happened before, prior treating doctors, hospitals, medications given, etc.
  • This information is then evaluated in step 504 which may also include x-rays, MRIs, physical examinations, etc.
  • a treatment plan is then proposed in step 505.
  • the patient is then positioned in the resetting device 100 in step 506.
  • Initial settings are entered into the computing devices associated with the device 100 in step 508.
  • the treatment is initiated by pressing the start button in step 510. If this initial treatment is not effective in resetting the shoulder, the settings are adjusted in step 514 and the treatment is again continued and evaluated.
  • FIG. 2 indicates a plurality of resetting device 202, 204, 206, et. seq., that communicate through a network, such as the Internet 208, to one or more shoulder reduction centers 210 that operate one or more programs 600, FIG. 6, for managing the resetting devices in a shoulder reduction system 200.
  • the system 200 may be a Windows® based program owned by Microsoft.
  • the treating doctor after logging into the system 200, step 602, would enter the patient's information, step 604, such as noted above.
  • the system 200 would then evaluation the patient information in light of a treatment database in step 606.
  • optimal treatment settings in step 608 such as height of the arm support 102, the angle of the arm holding plate a 116, the extension of the arm holding plate 112 with an initial force, and if needed the angle of the auxiliary arm support 122, are provide in step 610.
  • the resetting device would upload patient information and this would be evaluated based upon past histories maintained in one or more databases in the centers 210 to recommend possible treatment plans. If the treatment is successful in step 614, and the shoulder is reset, step 516, the treatment history is entered into the support program database in step 518, and step 618. If the initial settings did not reset the shoulder, adjusted settings would be provided in step 616 through the program 600. This information would be clearly labeled advisory in nature and subject to the actual conditions of the patient as seen by the treating doctor.
  • FIG. 3 illustrates the computing device 302 for operating the resetting device 100.
  • the computing device 302 may also include additional computers such as laptop computers that are interfaced thereto to display and control information.
  • Inputs into the computing device 302 include but are not limited to the remote controller 400, a patient "kill" switch 134, and other traditional devices such as a mouse 304, a modem 306 connected to a network and/or the Internet, a keyboard 308, a touch screen display, etc.
  • the patient "kill" switch 134 may also be provided that allows the patient to terminate the treatment cycle if the pain is excessive.
  • These operate through a conventional microprocessor unit 310 having a data storage unit 312 that would be running a dedicated program for supporting the resetting device 100.
  • Outputs would include displays 314 and, in particular, a motor controller 316.
  • the motor controller 316 would operate through interfaces 318, 320, 322, and 324, to control adjustable height motor 326, angle adjustment motor 328, auxiliary arm support adjustment motor 330, and force adjustment motor 332.
  • the operations of these motors would be monitored by sensors 334, 336, 338, and 340 that would communicate this information back to the processor 310 and the motor controller 316.
  • the current through the force adjustment motor 332 will be a fixed value, but if there is resistance, i.e., the arm is being pulled, the current will increase and this
  • the motor controller 316 will note this increased current by an increase in voltage across a resistor in that circuit, for example. This voltage will correspond to a particular applied force determined empirically and stored in a table in the data storage unit 312 of the computing device.
  • the adjustable height motor 326, the angle adjustment motor 328, adjustment motor 330 may be controlled based upon the run-time. For example, the angle adjustment motor 328 run-time would correspond to an angle of the arm- holding plate/traction structure in another table, run-time versus angle, stored in the computing means. Similarly to both the adjustable height motor 326 and the auxiliary arm support adjustment motor 330 where the run-time would correspond to distance. This information thus can be digitized and displayed and further changed based upon inputs from the remote controller 400.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

La présente invention concerne un dispositif de réinitialisation portatif (100) doté d'un socle portatif (126) comportant des sections télescopiques (172/170). Un support d'aisselles (102) de taille réglable est monté sur un support inférieur (114) qui est monté sur le socle (126). Une structure de traction (112) destinée à transmettre des forces à un bras blessé est montée sur le support inférieur (114). Un moteur commandable par ordinateur (124) est situé entre le support inférieur (114) et le socle (108) et relié fonctionnellement à eux, de manière à ce qu'un angle d'inclinaison (116) puisse être placé dessus. Une plaque maintenant le bras (136) est fixée au support inférieur (114) et se déplace dans une direction longitudinale au moyen d'un autre moteur commandable par ordinateur (118) situé entre eux et fonctionnellement relié à eux. Un support de bras auxiliaire (122) est relié fonctionnellement par un moteur contrôlable par ordinateur (120) au support inférieur (114) et fournit une force supplémentaire à la tête de l'humérus. Un ordinateur (302) commande le dispositif de réinitialisation (100) et peut communiquer avec un ordinateur de soutien (210) pour des conseils en matière de traitement.
PCT/US2010/001459 2009-09-18 2010-05-18 Dispositif de réinitialisation portatif et procédé d'utilisation WO2011034557A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/586,224 2009-09-18
US12/586,224 US9931237B2 (en) 2007-03-20 2009-09-18 Portable resetting device

Publications (1)

Publication Number Publication Date
WO2011034557A1 true WO2011034557A1 (fr) 2011-03-24

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111904794A (zh) * 2020-08-17 2020-11-10 大连理工江苏研究院有限公司金坛分公司 一种医养康护用手臂康复设备

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5788659A (en) * 1996-12-13 1998-08-04 Haas; Michael John Shoulder traction device for relocating a dislocated shoulder
US5919148A (en) * 1996-03-27 1999-07-06 Marko; Alexei J. Apparatus and method for evaluation of shoulder stability
US5961512A (en) * 1997-06-27 1999-10-05 Purnell; Michael B. Apparatus and method for positioning a human arm for shoulder surgery
US6599255B2 (en) * 2001-05-31 2003-07-29 Rehabilitation Institute Of Chicago Portable intelligent stretching device
US20040049143A1 (en) * 2002-09-06 2004-03-11 Short David L. Shoulder reduction device
US20050027225A1 (en) * 2003-03-27 2005-02-03 Bohn David A. Continous wrist distraction unit
WO2009111378A2 (fr) * 2008-03-04 2009-09-11 Bonutti Research Inc. Orthèse rom (range of motion) d’épaule

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5919148A (en) * 1996-03-27 1999-07-06 Marko; Alexei J. Apparatus and method for evaluation of shoulder stability
US5788659A (en) * 1996-12-13 1998-08-04 Haas; Michael John Shoulder traction device for relocating a dislocated shoulder
US5961512A (en) * 1997-06-27 1999-10-05 Purnell; Michael B. Apparatus and method for positioning a human arm for shoulder surgery
US6599255B2 (en) * 2001-05-31 2003-07-29 Rehabilitation Institute Of Chicago Portable intelligent stretching device
US20040049143A1 (en) * 2002-09-06 2004-03-11 Short David L. Shoulder reduction device
US20050027225A1 (en) * 2003-03-27 2005-02-03 Bohn David A. Continous wrist distraction unit
WO2009111378A2 (fr) * 2008-03-04 2009-09-11 Bonutti Research Inc. Orthèse rom (range of motion) d’épaule

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111904794A (zh) * 2020-08-17 2020-11-10 大连理工江苏研究院有限公司金坛分公司 一种医养康护用手臂康复设备

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