WO2016034755A1 - Drive device for active orthosis - Google Patents

Drive device for active orthosis Download PDF

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Publication number
WO2016034755A1
WO2016034755A1 PCT/ES2015/070646 ES2015070646W WO2016034755A1 WO 2016034755 A1 WO2016034755 A1 WO 2016034755A1 ES 2015070646 W ES2015070646 W ES 2015070646W WO 2016034755 A1 WO2016034755 A1 WO 2016034755A1
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WO
WIPO (PCT)
Prior art keywords
proximal
distal
support
spindle
joint
Prior art date
Application number
PCT/ES2015/070646
Other languages
Spanish (es)
French (fr)
Inventor
Josep Maria FONT LLAGUNES
Daniel CLOS COSTA
Original Assignee
Universitat Politècnica De Catalunya
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Publication date
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Publication of WO2016034755A1 publication Critical patent/WO2016034755A1/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
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved in a plane substantially parallel to the body-symmetrical-plane
    • A61H1/0262Walking movement; Appliances for aiding disabled persons to walk
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25JMANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J9/00Programme-controlled manipulators
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B25HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
    • B25JMANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
    • B25J9/00Programme-controlled manipulators
    • B25J9/0006Exoskeletons, i.e. resembling a human figure
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16HGEARING
    • F16H25/00Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms
    • F16H25/18Gearings comprising primarily only cams, cam-followers and screw-and-nut mechanisms for conveying or interconverting oscillating or reciprocating motions
    • F16H25/20Screw mechanisms

Definitions

  • SCKAFO Steance Control Knee Ankle Foot Orthosis
  • the knee is driven by an electric motor in cooperation with a three-stage epicyclic reducer that has a transmission ratio of 186: 1.
  • the output shaft of the epicycloidal reducer is connected directly to the axis of the knee joint, the motor-reducer assembly being protruding outwardly with its axis in a direction perpendicular to the sagittal plane, and therefore perpendicular to the longitudinal direction of the leg, which has the drawback that can be a hindrance.
  • the output shaft of the epicycloidal reducer is connected to the axis of the knee joint by means of a right angle forwarding comprising two conical sprockets with a 1: 1 transmission ratio.
  • both embodiments have the disadvantage of needing an epicyclic reducer of very high transmission ratio.
  • US 20140094345 A1 discloses an active orthosis that includes a knee joint and a motorization device to drive the movements of this knee joint.
  • the motorization device comprises an electric gearmotor assembly fixed to a part of the orthosis corresponding to the thigh, and an extensible spindle connected at its end to a part of the orthosis corresponding to the leg, and a nut coupled to the spindle and actuated by the assembly electric gearmotor References
  • the present invention constitutes an alternative to the state of the art, by providing a drive device that provides a compact and lightweight design, increased transmission performance, reduced angular play, and the possibility of actuation and blocking.
  • the drive device for active brace of the present invention comprises a proximal support intended to be fixed to a proximal part of the orthosis and a distal support intended to be fixed to a distal part of the orthosis, wherein said proximal and distal supports are connected to each other by a support joint having an axis of rotation aligned in use with an axis of articulation between said proximal and distal parts of the orthosis.
  • the drive device includes a mechanism connected to the proximal and distal supports and driven by an electric motor fixed to the proximal support to rotate the distal support relative to the proximal support around said rotation axis.
  • Said mechanism comprises, according to the present invention, a spindle rotatably supported on the proximal support and operatively connected to be rotated by said electric motor, a movable slide along at least one linear guide parallel to said spindle and supported on the proximal support, a nut fixed to said slide and coupled to the spindle, and a connecting rod having a first end connected to the slide by a proximal joint and a second end connected to the distal support by a distal joint.
  • the term "articulation" is used to cover both a rotating joint with respect to an axis and a spherical joint or a cardan joint.
  • the connecting rod can be connected to the slide and to the distal support by two rotating joints with respect to an axis, two spherical joints, a rotating joint with respect to an axis and a spherical joint, a rotating joint with respect to an axis and a cardan joint, or a spherical joint and a cardan joint. If one or two rotating joints are used with respect to an axis for said proximal and distal joints, they must have respective joint axes parallel to said axis of rotation.
  • the electric motor has an output shaft aligned with the spindle axis and is directly coupled thereto, and the spindle is supported on the proximal support in a position that in use is substantially parallel to a longitudinal direction of the proximal part of the orthosis .
  • the electric motor is fixed to an electric motor support, which is coupled to a bearing support in which a bearing that rotatably guides the spindle is installed.
  • the bearing is preferably a bearing, and more preferably an oscillating ball bearing.
  • the electric motor support and the bearing support are imprisoned against each other by proximal and distal packing plates connected to each other by rods that have connecting portions connected to the proximal and distal packing plates.
  • the proximal and distal packing plates have respective anchors in which an anchor portion of the proximal support is fixed.
  • the aforementioned stems extend parallel to the spindle from the distal packing plate to an end plate.
  • One or more of the stems are slidably inserted in corresponding guide holes of the slide, the said linear guides for it being constituted.
  • the slider can move along the spindle guided by the linear guides between the distal packing plate and the end plate.
  • the end of the spindle furthest from the electric motor is not rotatably guided with respect to the proximal support, and it is the nut installed on the slide that keeps the spindle in alignment with the output shaft of the electric motor.
  • the oscillating ball bearing which is located adjacent to the end of the spindle closest to the electric motor, absorbs any possible misalignment.
  • the spindle and nut are preferably a spindle and nut assembly of recirculating balls.
  • An activation of the electric motor spins the spindle, it displaces the sliding and the connecting rod pushes the distal support or pulls it to rotate the distal support relative to the proximal support around the support joint.
  • the passage and configuration of the spindle is selected to ensure that the coupling between the nut and the spindle is irreversible, whereby the support joint remains locked when the electric motor is not activated.
  • the connecting rod comprises at least a portion made of a slightly elastic material, such as a polymer, which provides a certain elasticity to the mechanism.
  • the motorization device for active brace of the present invention is designed for a knee brace, where the proximal part of the brace is fixed to the thigh and the distal part of the brace is fixed to the leg.
  • the motorization device for active brace of the present invention can be applied alternatively to an elbow brace, where the proximal part of the brace is fixed to the forearm and the distal part of The brace is attached to the arm, or to a hip brace, an ankle brace, etc.
  • Fig. 1 is a perspective view of an active orthotic motorization device according to an embodiment of the present invention
  • Fig. 2 is a side elevational view of the motorization device of Fig. 1 in an extended position
  • Fig. 3 is a side elevation view of the motorization device of Fig. 1 in a bent position
  • Fig. 4 is a cross-sectional view taken along the plane IV-IV of Fig. 2
  • Fig. 5 is a partially exploded perspective view of the motorization device of Fig. 1
  • Fig. 6 is a cross-sectional view taken on a plane comprising the axis of a spindle and the axis of a linear guide of the motorization device.
  • Figs. 1 to 6 show a drive device for active brace according to an embodiment of the present invention, which comprises a proximal support 1 intended to be fixed to a proximal part of the brace (not shown) by means of fixing screws 24 and a distal support 2 intended to be fixed to a distal part of the orthosis (not shown) by other fixing screws 25.
  • the proximal and distal supports 1, 2 are connected to each other by a support joint 3 having a rotation axis E1, which, when the drive device is fixed to the orthosis, is aligned with an axis of articulation between said proximal and distal parts of the orthosis.
  • the support joint 3 comprises, for example, a friction bearing 26 disposed between the proximal support 1 and the distal support 2 (Fig. 5).
  • the drive device comprises a mechanism connected to the proximal and distal supports 1, 2 and driven by an electric motor 4 to rotate the distal support 2 with respect to the proximal support 1 around the axis of rotation E1.
  • the proximal support 1 is fixed to a motor support 13, which has the electric motor 4 fixed by means of screws 20, and to a bearing support 14, in which a bearing 15 is installed, such as a bearing oscillating balls (Fig. 6), which rotatably supports and guides a spindle 5.
  • the motor support 13 and the bearing support 14 are coupled to each other and imprisoned against each other by proximal and distal packing plates 16 , 17 mutually parallel.
  • These proximal and distal packing plates 16, 17 have respective facing holes through which connecting portions 12a of mutually parallel stems 12 are inserted.
  • the connecting portions 12a have threaded end portions of thread in which nuts 21 are secured.
  • Fig. 6 best shows, when said nuts 21 are tightened, nuts 21 press on the proximal packing plate 16 and the proximal packing plate 16 presses on projections 13a of the motor support 13, while at the same time projections 12b between the rods 12 and their connecting portions 12a press on the distal packing plate 17 and the distal packing plate 17 presses on projections 14a of the bearing support 14, resulting in the motor support 13 and the support bearing 14 are pressed against each other trapping and immobilizing axially between the two an outer ring of the bearing 15 arranged in a corresponding inner seat of the bearing support 14.
  • the mechanism of the drive device further comprises a slide 10 provided with two guide holes 19 (Figs. 4 and 6) in which two of the stems 12 are slidably inserted, which constitute linear guides 11 parallel to the spindle 5 a along which the slide 10 is movable.
  • friction bushings 28 are installed in contact with the corresponding stems 12 (Fig. 6).
  • the slide 10 has a central opening 29 (Figs. 4 and 6) in which a nut 9 is fixed, which in turn is coupled to the spindle 5.
  • the spindle 5 and the nut 9 are preferably a spindle and nut assembly of recirculating balls.
  • the mechanism of the drive device is completed with a connecting rod 6 having a first end connected to the slide 10 by a proximal joint 7 and a second end connected to the distal support 2 by a distal joint 8, where both proximal and distal joints 7, 8 have respective axes of articulation E2, E3 parallel to the axis of rotation E1 of the support joint 3.
  • the distal joint 8 is located in lug 2a projecting in order avoid interference between the connecting rod 6 and the distal support 2, especially when the device adopts bent positions (Fig. 3), and increase the lever arm with respect to the axis of rotation E1 of the support joint 3.
  • the proximal and distal joints 7, 8 of the connecting rod 6 are formed by forks 30, 31 that support respective articulation pins.
  • the forks 30, 31 are fixed at opposite ends of a rod portion 32.
  • this rod portion 32 of the connecting rod 6 is made of an elastic material, obviously with a low degree of elasticity selected to ensure the transmission of forces between the slide and the distal support 2 and at the same time provide a certain elasticity to the mechanism for purposes of ergonomics, consumption reduction and system protection.
  • an activation of the electric motor 4 causes a rotation of the spindle 5 and it drives the nut 9 and the slide 10 fixed thereto along the linear guides 11 constituted by two of the stems 12.
  • the connecting rod 6 transmits the movements of the slide 10 to the distal support 2, converting the linear movements of the slide 10 into rotational movements of the distal support 2 relative to the proximal support 1 around the axis of rotation E1 of the support joint 3.
  • Figs. 1 and 2 show the drive device in an extended position, while Fig. 3 shows the drive device in a bent position.
  • the angle between an extended limit position and a bent limit position will depend on the geometry of the mechanism, and can reach and even exceed 90 degrees.

Abstract

The invention relates to an actuating device for active orthosis, which includes proximal and distal brackets (1, 2) to be attached to proximal and distal parts of the orthosis, respectively. The proximal and distal brackets (1, 2) are connected to one another by a supporting joint (3). A screw (5) operatively connected such as to be turned by an electric motor (4), a runner (10) movable along linear guides (11) parallel to the screw (5), and a nut (9) attached to the runner (10) and connected to the screw (5) are installed in the proximal bracket (1). A connecting rod (6) has a first end connected to the runner (10) via a proximal joint (7) and a second end connected to the distal bracket (2) via a distal joint (8). The connecting rod (6) converts the movement of the runner (10) into a turn of the distal bracket (2) around the supporting joint (3).

Description

DISPOSITIVO DE MOTORIZACIÓN PARA O RTESIS ACTIVA  MOTORIZATION DEVICE FOR OR ACTIVE RTESIS
DESCRIPCIÓN DESCRIPTION
Campo de la técnica La presente invención concierne a un dispositivo de motorización para una ortesis activa de pierna que incluye una articulación, y especialmente aunque no exclusivamente para una ortesis activa que incluye una articulación de rodilla, comprendiendo el dispositivo de motorización un motor eléctrico y una transmisión mecánica para accionar el movimiento de la articulación. Antecedentes de la invención Field of the art The present invention concerns a motorization device for an active leg brace that includes a joint, and especially though not exclusively for an active brace that includes a knee joint, the motorization device comprising an electric motor and a mechanical transmission to drive the movement of the joint. Background of the invention
En los documentos [1] y [2] se describe un dispositivo de ortesis del tipo SCKAFO (Stance Control Knee Ankle Foot Orthosis), que incluye una articulación en la rodilla y otra en el tobillo, previsto para asistir la marcha, donde la articulación de la rodilla está accionada mediante un motor eléctrico en cooperación con un reductor epicicloidal de tres etapas que tiene una relación de transmisión de 186:1. En una realización, el árbol de salida del reductor epicicloidal está conectado directamente al eje de la articulación de rodilla, quedando el conjunto motor-reductor sobresaliendo hacia fuera con su eje en una dirección perpendicular al plano sagital, y por consiguiente perpendicular a la dirección longitudinal de la pierna, lo que tiene como inconveniente que puede constituir un estorbo. En otra realización, el árbol de salida del reductor epicicloidal está conectado al eje de la articulación de rodilla mediante un reenvío en ángulo recto que comprende dos ruedas dentadas cónicas con una relación de transmisión 1 :1. No obstante, ambas realizaciones tienen el inconveniente de necesitar un reductor epicicloidal de muy elevada relación de transmisión. El documento US 20140094345 A1 da a conocer una ortesis activa que incluye una articulación en la rodilla y un dispositivo de motorización para accionar los movimientos de esta articulación de rodilla. El dispositivo de motorización comprende un conjunto motorreductor eléctrico fijado a una parte de la ortesis correspondiente al muslo, y un husillo extensible conectado en su extremo a una parte de la ortesis correspondiente a la pierna, y una tuerca acoplada al husillo y accionada por el conjunto motorreductor eléctrico. Referencias In documents [1] and [2] a SCKAFO (Stance Control Knee Ankle Foot Orthosis) type orthosis device is described, which includes a joint in the knee and another in the ankle, intended to assist the march, where the joint The knee is driven by an electric motor in cooperation with a three-stage epicyclic reducer that has a transmission ratio of 186: 1. In one embodiment, the output shaft of the epicycloidal reducer is connected directly to the axis of the knee joint, the motor-reducer assembly being protruding outwardly with its axis in a direction perpendicular to the sagittal plane, and therefore perpendicular to the longitudinal direction of the leg, which has the drawback that can be a hindrance. In another embodiment, the output shaft of the epicycloidal reducer is connected to the axis of the knee joint by means of a right angle forwarding comprising two conical sprockets with a 1: 1 transmission ratio. However, both embodiments have the disadvantage of needing an epicyclic reducer of very high transmission ratio. US 20140094345 A1 discloses an active orthosis that includes a knee joint and a motorization device to drive the movements of this knee joint. The motorization device comprises an electric gearmotor assembly fixed to a part of the orthosis corresponding to the thigh, and an extensible spindle connected at its end to a part of the orthosis corresponding to the leg, and a nut coupled to the spindle and actuated by the assembly electric gearmotor References
[1] Sistiaga Vidal-Ribas, Javier. "Disseny mecánic d'una ortesi activa per a lesionats medul lars a partir de l'analisi dinámica de la marxa humana." Master thesis. Universitat Politécnica de Catalunya. Diciembre 2012. [2] Font-Llagunes, Josep M.; Pámies-Vilá, Rosa; Alonso, Javier; y Lugrís, Urbano. "Simulation and design of an active orthosis for an incomplete spinal cord injured subject" 2011 Symposium on Human Body Dynamics. Elsevier, Procedía IUTAM 2 (2011) 68-81. [1] Sistiaga Vidal-Ribas, Javier. "Disseny mechanic d'una ortesi activates per a lesionats medul lars from the dynamic analysis of the human marxa." Master thesis Universitat Politècnica de Catalunya. December 2012. [2] Font-Llagunes, Josep M .; Pámies-Vilá, Rosa; Alonso, Javier; and Lugrís, Urban. "Simulation and design of an active orthosis for an incomplete spinal cord injured subject" 2011 Symposium on Human Body Dynamics. Elsevier, Procedure IUTAM 2 (2011) 68-81.
Exposición de la invención Exhibition of the invention
La presente invención constituye una alternativa al estado de la técnica, mediante la provisión de un dispositivo de accionamiento que proporciona un diseño compacto y ligero, un mayor rendimiento de la transmisión, un juego angular reducido, y posibilidad de actuación y bloqueo. El dispositivo de accionamiento para ortesis activa de la presente invención comprende un soporte proximal previsto para ser fijado a una parte proximal de la ortesis y un soporte distal previsto para ser fijado a una parte distal de la ortesis, donde los mencionados soportes proximal y distal están conectados entre sí por una articulación de soporte que tiene un eje de giro alineado en uso con un eje de articulación entre dichas partes proximal y distal de la ortesis. El dispositivo de accionamiento incluye un mecanismo conectado a los soportes proximal y distal y accionado por un motor eléctrico fijado al soporte proximal para hacer girar el soporte distal respecto al soporte proximal alrededor del mencionado eje de giro. The present invention constitutes an alternative to the state of the art, by providing a drive device that provides a compact and lightweight design, increased transmission performance, reduced angular play, and the possibility of actuation and blocking. The drive device for active brace of the present invention comprises a proximal support intended to be fixed to a proximal part of the orthosis and a distal support intended to be fixed to a distal part of the orthosis, wherein said proximal and distal supports are connected to each other by a support joint having an axis of rotation aligned in use with an axis of articulation between said proximal and distal parts of the orthosis. The drive device includes a mechanism connected to the proximal and distal supports and driven by an electric motor fixed to the proximal support to rotate the distal support relative to the proximal support around said rotation axis.
El citado mecanismo comprende, de acuerdo con la presente invención, un husillo soportado giratoriamente en el soporte proximal y conectado operativamente para ser girado por dicho motor eléctrico, una corredera movible a lo largo de al menos una guía lineal paralela a dicho husillo y soportada en el soporte proximal, una tuerca fijada a dicha corredera y acoplada al husillo, y una biela que tiene un primer extremo conectado a la corredera por una articulación proximal y un segundo extremo conectado al soporte distal por una articulación distal. Said mechanism comprises, according to the present invention, a spindle rotatably supported on the proximal support and operatively connected to be rotated by said electric motor, a movable slide along at least one linear guide parallel to said spindle and supported on the proximal support, a nut fixed to said slide and coupled to the spindle, and a connecting rod having a first end connected to the slide by a proximal joint and a second end connected to the distal support by a distal joint.
A lo largo de esta descripción, el término "articulación" se usa para cubrir tanto una junta giratoria respecto a un eje como una junta esférica o una junta cardán. Opcionalmente, la biela puede estar conectada a la corredera y al soporte distal por dos juntas giratorias respecto a un eje, dos juntas esféricas, una junta giratoria respecto a un eje y una junta esférica, una junta giratoria respecto a un eje y una junta cardán, o una junta esférica y una junta cardán. Si se usan una o dos juntas giratorias respecto a un eje para dichas articulaciones proximal y distal, éstas deben tener unos respectivos ejes de articulación paralelos a dicho eje de giro. Throughout this description, the term "articulation" is used to cover both a rotating joint with respect to an axis and a spherical joint or a cardan joint. Optionally, the connecting rod can be connected to the slide and to the distal support by two rotating joints with respect to an axis, two spherical joints, a rotating joint with respect to an axis and a spherical joint, a rotating joint with respect to an axis and a cardan joint, or a spherical joint and a cardan joint. If one or two rotating joints are used with respect to an axis for said proximal and distal joints, they must have respective joint axes parallel to said axis of rotation.
El motor eléctrico tiene un árbol de salida alineado con el eje del husillo y está acoplado directamente al mismo, y el husillo está soportado en el soporte proximal en una posición que en uso es substancialmente paralela a una dirección longitudinal de la parte proximal de la ortesis. Así se consigue un diseño extraordinariamente compacto, en el que los soportes, el motor eléctrico y el mecanismo sobresalen lateralmente poco de la ortesis en comparación con los dispositivos del estado de la técnica. The electric motor has an output shaft aligned with the spindle axis and is directly coupled thereto, and the spindle is supported on the proximal support in a position that in use is substantially parallel to a longitudinal direction of the proximal part of the orthosis . Thus an extraordinarily compact design is achieved, in which the brackets, the electric motor and the mechanism protrude little from the orthosis laterally compared to the prior art devices.
El motor eléctrico está fijado a un soporte de motor eléctrico, el cual está acoplado a un soporte de cojinete en el que está instalado un cojinete que guía giratoriamente al husillo. El cojinete es preferiblemente un rodamiento, y más preferiblemente un rodamiento de bolas oscilante. The electric motor is fixed to an electric motor support, which is coupled to a bearing support in which a bearing that rotatably guides the spindle is installed. The bearing is preferably a bearing, and more preferably an oscillating ball bearing.
El soporte de motor eléctrico y el soporte de cojinete están aprisionados el uno contra el otro por unas placas de empaquetamiento proximal y distal conectadas entre sí por unos vástagos que tienen unas porciones de conexión conectadas a las placas de empaquetamiento proximal y distal. Las placas de empaquetamiento proximal y distal tienen unos respectivos anclajes en los que se fija una porción de anclaje del soporte proximal. Los mencionados vástagos se extienden paralelos al husillo desde la placa de empaquetamiento distal hasta una placa final. Uno o más de los vástagos están insertados de manera deslizante en unos correspondientes agujeros de guía de la corredera, constituyendo las mencionadas guías lineales para la misma. The electric motor support and the bearing support are imprisoned against each other by proximal and distal packing plates connected to each other by rods that have connecting portions connected to the proximal and distal packing plates. The proximal and distal packing plates have respective anchors in which an anchor portion of the proximal support is fixed. The aforementioned stems extend parallel to the spindle from the distal packing plate to an end plate. One or more of the stems are slidably inserted in corresponding guide holes of the slide, the said linear guides for it being constituted.
Así, la corredera puede moverse a lo largo del husillo guiada por las guías lineales entre la placa de empaquetamiento distal y la placa final. El extremo del husillo más alejado del motor eléctrico no está guiado giratoriamente respecto al soporte proximal, y es la tuerca instalada en la corredera la que mantiene el husillo en alineación con el árbol de salida del motor eléctrico. El rodamiento de bolas oscilante, el cual está situado adyacente al extremo del husillo más cercano al motor eléctrico, absorbe cualquier posible desalineación. Thus, the slider can move along the spindle guided by the linear guides between the distal packing plate and the end plate. The end of the spindle furthest from the electric motor is not rotatably guided with respect to the proximal support, and it is the nut installed on the slide that keeps the spindle in alignment with the output shaft of the electric motor. The oscillating ball bearing, which is located adjacent to the end of the spindle closest to the electric motor, absorbs any possible misalignment.
El husillo y la tuerca son preferiblemente un conjunto de husillo y tuerca de bolas recirculantes. Una activación del motor eléctrico hace girar el husillo, éste desplaza la corredera y la biela empuja al soporte distal o tira del mismo para hacer girar el soporte distal respecto al soporte proximal alrededor de la articulación de soporte. Ventajosamente, el paso y la configuración del husillo está seleccionado para asegurar que el acoplamiento entre la tuerca y el husillo es irreversible, por lo que la articulación de soporte permanece bloqueada cuando el motor eléctrico no está activado. The spindle and nut are preferably a spindle and nut assembly of recirculating balls. An activation of the electric motor spins the spindle, it displaces the sliding and the connecting rod pushes the distal support or pulls it to rotate the distal support relative to the proximal support around the support joint. Advantageously, the passage and configuration of the spindle is selected to ensure that the coupling between the nut and the spindle is irreversible, whereby the support joint remains locked when the electric motor is not activated.
En una realización, la biela comprende al menos una porción hecha de un material ligeramente elástico, como por ejemplo un polímero, lo que proporciona una cierta elasticidad al mecanismo. In one embodiment, the connecting rod comprises at least a portion made of a slightly elastic material, such as a polymer, which provides a certain elasticity to the mechanism.
El dispositivo de motorización para ortesis activa de la presente invención está concebido para una ortesis de rodilla, donde la parte proximal de la ortesis va fijada al muslo y la parte distal de la ortesis va fijada a la pierna. No obstante, un experto en la técnica comprenderá que con ligeras modificaciones el dispositivo de motorización para ortesis activa de la presente invención puede ser aplicado alternativamente a una ortesis de codo, donde la parte proximal de la ortesis va fijada al antebrazo y la parte distal de la ortesis va fijada al brazo, o a una ortesis de cadera, una ortesis de tobillo, etc. The motorization device for active brace of the present invention is designed for a knee brace, where the proximal part of the brace is fixed to the thigh and the distal part of the brace is fixed to the leg. However, one skilled in the art will understand that with slight modifications, the motorization device for active brace of the present invention can be applied alternatively to an elbow brace, where the proximal part of the brace is fixed to the forearm and the distal part of The brace is attached to the arm, or to a hip brace, an ankle brace, etc.
Breve descripción de las figuras Brief description of the figures
Las anteriores y otras ventajas y características se comprenderán más plenamente a partir de la siguiente descripción detallada de un ejemplo de realización con referencia a los dibujos adjuntos, que deben tomarse a título ilustrativo y no limitativo, en los que: la Fig. 1 es una vista en perspectiva de un dispositivo de motorización para ortesis activa de acuerdo con una realización de la presente invención; la Fig. 2 es una vista en alzado lateral del dispositivo de motorización de la Fig. 1 en una posición extendida; la Fig. 3 es una vista en alzado lateral del dispositivo de motorización de la Fig. 1 en una posición doblada; la Fig. 4 es una vista en sección transversal tomada por el plano IV-IV de la Fig. 2; la Fig. 5 es una vista en perspectiva parcialmente en explosión del dispositivo de motorización de la Fig. 1 ; y la Fig. 6 es una vista en sección transversal tomada por un plano que comprende el eje de un husillo y el eje de una guía lineal del dispositivo de motorización. Descripción detallada de un ejemplo de realización The foregoing and other advantages and features will be more fully understood from the following detailed description of an exemplary embodiment with reference to the accompanying drawings, which should be taken by way of illustration and not limitation, in which: Fig. 1 is a perspective view of an active orthotic motorization device according to an embodiment of the present invention; Fig. 2 is a side elevational view of the motorization device of Fig. 1 in an extended position; Fig. 3 is a side elevation view of the motorization device of Fig. 1 in a bent position; Fig. 4 is a cross-sectional view taken along the plane IV-IV of Fig. 2; Fig. 5 is a partially exploded perspective view of the motorization device of Fig. 1; and Fig. 6 is a cross-sectional view taken on a plane comprising the axis of a spindle and the axis of a linear guide of the motorization device. Detailed description of an embodiment example
Las Figs. 1 a 6 muestran un dispositivo de accionamiento para ortesis activa de acuerdo con una realización de la presente invención, el cual comprende un soporte proximal 1 previsto para ser fijado a una parte proximal de la ortesis (no mostrada) mediante unos tornillos de fijación 24 y un soporte distal 2 previsto para ser fijado a una parte distal de la ortesis (no mostrada) mediante otros tornillos de fijación 25. Los soportes proximal y distal 1 , 2 están conectados entre sí por una articulación de soporte 3 que tiene un eje de giro E1 , el cual, cuando el dispositivo de accionamiento está fijado a la ortesis, está alineado con un eje de articulación entre dichas partes proximal y distal de la ortesis. La articulación de soporte 3 comprende, por ejemplo, un cojinete de fricción 26 dispuesto entre el soporte proximal 1 y el soporte distal 2 (Fig. 5). Figs. 1 to 6 show a drive device for active brace according to an embodiment of the present invention, which comprises a proximal support 1 intended to be fixed to a proximal part of the brace (not shown) by means of fixing screws 24 and a distal support 2 intended to be fixed to a distal part of the orthosis (not shown) by other fixing screws 25. The proximal and distal supports 1, 2 are connected to each other by a support joint 3 having a rotation axis E1, which, when the drive device is fixed to the orthosis, is aligned with an axis of articulation between said proximal and distal parts of the orthosis. The support joint 3 comprises, for example, a friction bearing 26 disposed between the proximal support 1 and the distal support 2 (Fig. 5).
El dispositivo de accionamiento comprende un mecanismo conectado a los soportes proximal y distal 1 , 2 y accionado por un motor eléctrico 4 para hacer girar el soporte distal 2 respecto al soporte proximal 1 alrededor del eje de giro E1. Para ello, el soporte proximal 1 está fijado a un soporte de motor 13, el cual lleva fijado el motor eléctrico 4 mediante unos tornillos 20, y a un soporte de cojinete 14, en el cual está instalado un cojinete 15, tal como un rodamiento de bolas oscilante (Fig. 6), que soporta y guia giratoriamente un husillo 5. El soporte de motor 13 y el soporte de cojinete 14 están acoplados el uno al otro y aprisionados el uno contra el otro por unas placas de empaquetamiento proximal y distal 16, 17 mutuamente paralelas. Estas placas de empaquetamiento proximal y distal 16, 17 tienen unos respectivos agujeros enfrentados a través de los cuales están insertadas unas porciones de conexión 12a de unos vástagos 12 mutuamente paralelos. Las porciones de conexión 12a tienen unas porciones extremas fileteadas de rosca en las que están aseguradas unas tuercas 21. The drive device comprises a mechanism connected to the proximal and distal supports 1, 2 and driven by an electric motor 4 to rotate the distal support 2 with respect to the proximal support 1 around the axis of rotation E1. For this, the proximal support 1 is fixed to a motor support 13, which has the electric motor 4 fixed by means of screws 20, and to a bearing support 14, in which a bearing 15 is installed, such as a bearing oscillating balls (Fig. 6), which rotatably supports and guides a spindle 5. The motor support 13 and the bearing support 14 are coupled to each other and imprisoned against each other by proximal and distal packing plates 16 , 17 mutually parallel. These proximal and distal packing plates 16, 17 have respective facing holes through which connecting portions 12a of mutually parallel stems 12 are inserted. The connecting portions 12a have threaded end portions of thread in which nuts 21 are secured.
Tal como muestra mejor la Fig. 6, cuando las mencionadas tuercas 21 son apretadas, las tuercas 21 presionan sobre la placa de empaquetamiento proximal 16 y la placa de empaquetamiento proximal 16 presiona sobre unos resaltes 13a del soporte de motor 13, mientras que al mismo tiempo unos resaltes 12b entre los vástagos 12 y sus porciones de conexión 12a presionan sobre la placa de empaquetamiento distal 17 y la placa de empaquetamiento distal 17 presiona sobre unos resaltes 14a del soporte de cojinete 14, resultando que el soporte de motor 13 y el soporte de cojinete 14 son presionados el uno contra el otro atrapando e inmovilizando axialmente entre ambos un anillo exterior del cojinete 15 dispuesto en un correspondiente asiento interior del soporte de cojinete 14. As Fig. 6 best shows, when said nuts 21 are tightened, nuts 21 press on the proximal packing plate 16 and the proximal packing plate 16 presses on projections 13a of the motor support 13, while at the same time projections 12b between the rods 12 and their connecting portions 12a press on the distal packing plate 17 and the distal packing plate 17 presses on projections 14a of the bearing support 14, resulting in the motor support 13 and the support bearing 14 are pressed against each other trapping and immobilizing axially between the two an outer ring of the bearing 15 arranged in a corresponding inner seat of the bearing support 14.
Las placas de empaquetamiento proximal y distal 16, 17 tienen formados unos respectivos anclajes 16a, 17a en los que está fijada una porción de anclaje 1 a del soporte proximal 1 mediante unos tornillos 22. Los vástagos 12 se extienden desde la placa de empaquetamiento distal 17 hasta una placa final 18, y están fijados a esta placa final 18 mediante unos tornillos 23. The proximal and distal packing plates 16, 17 have respective anchors 16a, 17a in which an anchoring portion 1 a of the proximal support 1 is fixed by means of screws 22. The stems 12 extend from the distal packing plate 17 to an end plate 18, and are fixed to this end plate 18 by means of screws 23.
El husillo 5 tiene formado un asiento exterior insertado en un anillo interior del cojinete 15, y una porción fileteada de rosca en la que está acoplada una tuerca 27 que inmoviliza axialmente el anillo interior del cojinete 15, de manera que el husillo es soportado y guiado giratoriamente en el soporte de cojinete 14 que a su vez está fijado en el soporte proximal 1. Tal como muestra mejor la Fig. 4, el husillo 5 está situado en un espacio entre los vástagos 12 en una posición paralela a los mismos. El cojinete 15 está situado cerca de un extremo proximal del husillo 5, y el husillo 5 tiene un extremo distal libre adyacente a la placa final 18 pero no soportado en la placa final 18. The spindle 5 has an outer seat formed in an inner ring of the bearing 15, and a threaded threaded portion in which a nut 27 is attached which axially immobilizes the inner ring of the bearing 15, so that the spindle is supported and guided rotatably in the bearing support 14 which in turn is fixed in the proximal support 1. As Fig. 4 best shows, the spindle 5 is located in a space between the stems 12 in a position parallel to them. The bearing 15 is located near a proximal end of the spindle 5, and the spindle 5 has a free distal end adjacent to the end plate 18 but not supported on the end plate 18.
El motor eléctrico 4 tiene un árbol de salida 4a acoplado directamente al husillo 5, de manera que el árbol de salida 4a del motor eléctrico 4 está alineado con un eje Eh del husillo 5 y el husillo 5 está conectado operativamente para ser girado por el motor eléctrico 4. El husillo 5 está soportado en el soporte proximal 1 en una posición tal que, en uso, es decir, cuando el dispositivo de accionamiento está fijado a la ortesis, su eje Eh es substancialmente paralelo a una dirección longitudinal de la parte proximal de la ortesis (no mostrada). The electric motor 4 has an output shaft 4a directly coupled to the spindle 5, so that the output shaft 4a of the electric motor 4 is aligned with an axis Eh of the spindle 5 and the spindle 5 is operatively connected to be rotated by the motor electric 4. The spindle 5 is supported on the proximal support 1 in a position such that, in use, that is, when the drive device is fixed to the orthosis, its axis Eh is substantially parallel to a longitudinal direction of the proximal part of the orthosis (not shown).
El mecanismo del dispositivo de accionamiento comprende además una corredera 10 provista dos agujeros de guía 19 (Figs. 4 y 6) en los que están insertados de manera deslizante dos de los vástagos 12, los cuales constituyen unas guías lineales 11 paralelas al husillo 5 a lo largo de las cuales es movible la corredera 10. En los agujeros de guía 19 están instalados unos casquillos de fricción 28 en contacto con los correspondientes vástagos 12 (Fig. 6). La corredera 10 tiene una abertura central 29 (Figs. 4 y 6) en la que está fijada una tuerca 9, la cual a su vez está acoplada al husillo 5. El husillo 5 y la tuerca 9 son preferiblemente un conjunto de husillo y tuerca de bolas recirculantes. The mechanism of the drive device further comprises a slide 10 provided with two guide holes 19 (Figs. 4 and 6) in which two of the stems 12 are slidably inserted, which constitute linear guides 11 parallel to the spindle 5 a along which the slide 10 is movable. In the guide holes 19 friction bushings 28 are installed in contact with the corresponding stems 12 (Fig. 6). The slide 10 has a central opening 29 (Figs. 4 and 6) in which a nut 9 is fixed, which in turn is coupled to the spindle 5. The spindle 5 and the nut 9 are preferably a spindle and nut assembly of recirculating balls.
El mecanismo del dispositivo de accionamiento se completa con una biela 6 que tiene un primer extremo conectado a la corredera 10 por una articulación proximal 7 y un segundo extremo conectado al soporte distal 2 por una articulación distal 8, donde ambas articulaciones proximal y distal 7, 8 tienen unos respectivos ejes de articulación E2, E3 paralelos a al eje de giro E1 de la articulación de soporte 3. En el soporte distal 2, la articulación distal 8 está situada en orejeta 2a sobresaliente con el fin de evitar interferencias entre la biela 6 y el soporte distal 2, especialmente cuando el dispositivo adopta posiciones dobladas (Fig. 3), y aumentar el brazo de palanca respecto al eje de giro E1 de la articulación de soporte 3. The mechanism of the drive device is completed with a connecting rod 6 having a first end connected to the slide 10 by a proximal joint 7 and a second end connected to the distal support 2 by a distal joint 8, where both proximal and distal joints 7, 8 have respective axes of articulation E2, E3 parallel to the axis of rotation E1 of the support joint 3. On the distal support 2, the distal joint 8 is located in lug 2a projecting in order avoid interference between the connecting rod 6 and the distal support 2, especially when the device adopts bent positions (Fig. 3), and increase the lever arm with respect to the axis of rotation E1 of the support joint 3.
Las articulaciones proximal y distal 7, 8 de la biela 6 están formadas por unas horquillas 30, 31 que soportan unos respectivos pasadores de articulación. Las horquillas 30, 31 están fijadas en extremos opuestos de una porción de barra 32. Opcionalmente, esta porción de barra 32 de la biela 6 está hecha de un material elástico, obviamente con un bajo grado de elasticidad seleccionado para asegurar la transmisión de fuerzas entre la corredera y el soporte distal 2 y al mismo tiempo proporcionar una cierta elasticidad al mecanismo con propósitos de ergonomía, reducción del consumo y protección del sistema. Con esta disposición, una activación del motor eléctrico 4 ocasiona un giro del husillo 5 y éste arrastra la tuerca 9 y la corredera 10 fijada a la misma a lo largo de las guías lineales 11 constituidas por dos de los vástagos 12. La biela 6 transmite los movimientos de la corredera 10 al soporte distal 2, convirtiendo los movimientos lineales de la corredera 10 en movimientos de giro del soporte distal 2 respecto al soporte proximal 1 alrededor del eje de giro E1 de la articulación de soporte 3. Las Figs. 1 y 2 muestran el dispositivo de accionamiento en una posición extendida, mientras que la Fig. 3 muestra el dispositivo de accionamiento en una posición doblada. The proximal and distal joints 7, 8 of the connecting rod 6 are formed by forks 30, 31 that support respective articulation pins. The forks 30, 31 are fixed at opposite ends of a rod portion 32. Optionally, this rod portion 32 of the connecting rod 6 is made of an elastic material, obviously with a low degree of elasticity selected to ensure the transmission of forces between the slide and the distal support 2 and at the same time provide a certain elasticity to the mechanism for purposes of ergonomics, consumption reduction and system protection. With this arrangement, an activation of the electric motor 4 causes a rotation of the spindle 5 and it drives the nut 9 and the slide 10 fixed thereto along the linear guides 11 constituted by two of the stems 12. The connecting rod 6 transmits the movements of the slide 10 to the distal support 2, converting the linear movements of the slide 10 into rotational movements of the distal support 2 relative to the proximal support 1 around the axis of rotation E1 of the support joint 3. Figs. 1 and 2 show the drive device in an extended position, while Fig. 3 shows the drive device in a bent position.
El ángulo abarcado entre una posición extendida límite y una posición doblada límite dependerá de la geometría del mecanismo, y puede alcanzar e incluso superar los 90 grados. The angle between an extended limit position and a bent limit position will depend on the geometry of the mechanism, and can reach and even exceed 90 degrees.
El alcance de la presente invención está definido en las reivindicaciones adjuntas. The scope of the present invention is defined in the appended claims.

Claims

REIVINDICACIONES
1. - Dispositivo de accionamiento para ortesis activa que comprende un soporte proximal (1) previsto para ser fijado a una parte proximal de la ortesis y un soporte distal (2) previsto para ser fijado a una parte distal de la ortesis, estando dichos soportes proximal y distal (1 , 2) conectados entre sí por una articulación de soporte (3) que tiene un eje de giro (E1) alineado en uso con un eje de articulación entre dichas partes proximal y distal de la ortesis, un motor eléctrico (4) fijado a dicho soporte proximal (1), y un mecanismo conectado a los soportes proximal y distal (1 , 2) y accionado por dicho motor eléctrico (4) para hacer girar el soporte distal (2) respecto al soporte proximal (1) alrededor de dicho eje de giro (E1), caracterizado por que dicho mecanismo comprende: 1. - Actuation device for active brace comprising a proximal support (1) intended to be fixed to a proximal part of the orthosis and a distal support (2) intended to be fixed to a distal part of the orthosis, said supports being proximal and distal (1, 2) connected to each other by a support joint (3) that has an axis of rotation (E1) aligned in use with an axis of articulation between said proximal and distal parts of the orthosis, an electric motor ( 4) fixed to said proximal support (1), and a mechanism connected to the proximal and distal supports (1, 2) and driven by said electric motor (4) to rotate the distal support (2) with respect to the proximal support (1 ) around said axis of rotation (E1), characterized in that said mechanism comprises:
un husillo (5) soportado giratoriamente en el soporte proximal (1) y conectado operativamente para ser girado por dicho motor eléctrico (4);  a spindle (5) rotatably supported on the proximal support (1) and operatively connected to be rotated by said electric motor (4);
una corredera (10) movible a lo largo de al menos una guía lineal (11) paralela a dicho husillo (5) y soportada en el soporte proximal (1);  a slide (10) movable along at least one linear guide (11) parallel to said spindle (5) and supported on the proximal support (1);
una tuerca (9) fijada a dicha corredera (10) y acoplada al husillo (5); y  a nut (9) fixed to said slide (10) and coupled to the spindle (5); Y
una biela (6) que tiene un primer extremo conectado a la corredera (10) por una articulación proximal (7) y un segundo extremo conectado al soporte distal (2) por una articulación distal (8).  a connecting rod (6) having a first end connected to the slide (10) by a proximal joint (7) and a second end connected to the distal support (2) by a distal joint (8).
2. - Dispositivo de accionamiento para ortesis activa según la reivindicación 1 , caracterizado por que dicho motor eléctrico (4) tiene un árbol de salida (4a) alineado con un eje (Eh) del husillo (5), y el husillo (5) está soportado en el soporte proximal (1) en una posición que en uso es substancialmente paralela a una dirección longitudinal de la parte proximal de la ortesis. 2. - Drive device for active brace according to claim 1, characterized in that said electric motor (4) has an output shaft (4a) aligned with an axis (Eh) of the spindle (5), and the spindle (5) it is supported on the proximal support (1) in a position that in use is substantially parallel to a longitudinal direction of the proximal part of the orthosis.
3. - Dispositivo de accionamiento para ortesis activa según la reivindicación 2, caracterizado porque el motor eléctrico (4) está fijado a un soporte de motor (13) acoplado a un soporte de cojinete (14) en el que está instalado un cojinete (15) que guía giratoriamente al husillo (5). 3. - Active orthosis drive device according to claim 2, characterized in that the electric motor (4) is fixed to a motor support (13) coupled to a bearing support (14) in which a bearing (15) is installed ) which rotatably guides the spindle (5).
4. - Dispositivo de accionamiento para ortesis activa según la reivindicación 3, caracterizado porque dicho cojinete (15) es un rodamiento de bolas oscilante. 4. - Actuating device for active brace according to claim 3, characterized in that said bearing (15) is an oscillating ball bearing.
5. - Dispositivo de accionamiento para ortesis activa según la reivindicación 3 o 4, caracterizado porque dicho soporte de motor (13) y dicho soporte de cojinete (14) están aprisionados el uno contra el otro por una placa de empaquetamiento proximal (16) y una placa de empaquetamiento distal (17) conectadas entre sí por unas porciones de conexión (12a) de unos vástagos (12). 5. - Drive device for active brace according to claim 3 or 4, characterized in that said motor support (13) and said bearing support (14) are locked against each other by a proximal packing plate (16) and a distal packing plate (17) connected to each other by connecting portions (12a) of rods (12).
6. - Dispositivo de accionamiento para ortesis activa según la reivindicación 5, caracterizado porque dichos vástagos (12) se extienden paralelos al husillo (5) desde dicha placa de empaquetamiento distal (17) hasta una placa final (18), y al menos uno de dichos vástagos (12) está insertado de manera deslizante en un correspondiente agujero de guía (19) de la corredera (10) constituyendo dicha guía lineal (11). 6. - Actuation device for active brace according to claim 5, characterized in that said stems (12) extend parallel to the spindle (5) from said distal packing plate (17) to an end plate (18), and at least one of said stems (12) is slidably inserted in a corresponding guide hole (19) of the slide (10) constituting said linear guide (11).
7. - Dispositivo de accionamiento para ortesis activa según la reivindicación 6, caracterizado porque dicha placa de empaquetamiento proximal (16) y dicha placa de empaquetamiento distal (17) tienen unos anclajes (16a, 17a) en los que se fija una porción de anclaje (1 a) del soporte proximal (1). 7. - Active orthotic drive device according to claim 6, characterized in that said proximal packing plate (16) and said distal packing plate (17) have anchors (16a, 17a) in which an anchoring portion is fixed (1 a) of the proximal support (1).
8.- Dispositivo de accionamiento para ortesis activa según la reivindicación 1 , caracterizado porque dicha biela (6) comprende al menos una porción hecha de un material elástico. 8. Drive device for active brace according to claim 1, characterized in that said connecting rod (6) comprises at least a portion made of an elastic material.
9.- Dispositivo de accionamiento para ortesis activa según la reivindicación 1 , caracterizado porque el husillo (5) y dicha tuerca (9) son un conjunto de husillo y tuerca de bolas recirculantes. 9. Drive device for active brace according to claim 1, characterized in that the spindle (5) and said nut (9) are a spindle and nut assembly of recirculating balls.
10.- Dispositivo de accionamiento para ortesis activa según la reivindicación 1 , caracterizado porque dichas articulaciones proximal y distal (7, 8) tienen unos respectivos ejes de articulación (E2, E3) paralelos a dicho eje de giro (E1). 10. An active orthosis drive device according to claim 1, characterized in that said proximal and distal joints (7, 8) have respective joint axes (E2, E3) parallel to said axis of rotation (E1).
11.- Dispositivo de accionamiento para ortesis activa según la reivindicación 1 , caracterizado porque dichas articulaciones proximal y distal (7, 8) comprenden al menos una junta giratoria respecto a un eje de articulación (E2, E3) paralelo a dicho eje de giro (E1), y/o al menos una junta esférica y/o al menos una junta cardán. 11. Actuation device for active brace according to claim 1, characterized in that said proximal and distal joints (7, 8) comprise at least one rotating joint with respect to an articulation axis (E2, E3) parallel to said axis of rotation ( E1), and / or at least one ball joint and / or at least one cardan joint.
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