WO2020244713A1

WO2020244713A1 - Medical device for applying force to the pelvis of a living being, and method and use

Info

Publication number: WO2020244713A1
Application number: PCT/DE2020/100469
Authority: WO
Inventors: Bernd SCHREINEMACHER; Claus Steinberg
Original assignee: Spektramed Gmbh
Priority date: 2019-06-06
Filing date: 2020-06-04
Publication date: 2020-12-10
Also published as: EP3979956A1; DE102019115325A1; DE102019115325B4

Abstract

A wide variety of medical devices and methods are used to meet the need for applying external pressure forces to the inner structure of living beings. The invention makes available a medical device (100) configured to lie flat on the body of a living being and configured to apply force to the pelvis of the living being, in particular configured to compress the pelvic symphysis and/or the sacroiliac joint, having: a size adjustment mechanism (20) for adjusting the effective diameter of the medical device around the pelvis; a compression mechanism (20a) for applying a/the predefinable force to the pelvis of the living being, in particular with a pulley/cable mechanism; a fastening portion (30) configured for reversibly setting a chosen size for the effective diameter; and a movement tolerance portion (40) configured such that longitudinal portions (18) of the medical device are arranged relative to each other with movement tolerance. According to the invention, devices of this kind can be optimized by provision of fastening means for an improved size adjustment mechanism and optimized movement adaptation. The range of use is also extended in this way.

Description

Medical device for the action of force on the pelvis of the living being, as well as method and use

TECHNICAL AREA

The present invention relates to a medical device for applying force to the pelvis of the living being, in particular for exerting pressure on the pelvic blades. The present invention also relates to an adjustment method and the use of the device for adjusting a size or a desired fit and / or for adjusting medical-technical effects. In particular, the invention relates to a device and a method according to the preamble of the independent claim.

BACKGROUND OF THE INVENTION

Living beings, especially humans, can be used in many life situations by means of medical technology

Devices are supported, in particular with regard to the musculoskeletal system by means of straps and belts and orthotics. Living beings, in particular humans, suffer, for example, at least temporarily or depending on the situation, from a weak structure of the pelvis or from a pelvis that is particularly stressed in certain life or stressful situations. The increased stress on the pelvis during pregnancy can be cited as one of several examples.

One of the previously known measures to alleviate such ailments occurring in particular in connection with the pelvic structure is based on the application of compressive forces which can be applied, for example, by means of a belt, in particular an orthosis. More specifically, these devices can also be referred to as orthoses, in particular pelvic ring orthoses. Such belts or orthotics are already available on the market in various designs, for example also characterized by specific pressure points or pressure application areas or structures. However, with such devices, in particular belts, there is a need for improvement with regard to user-friendliness, wearing comfort, medical-technical effect and / or also with regard to practicability and usability or usability in everyday life or in a large number of situations. In other words: an all-round device, in particular in the form of a belt, which can be optimized for a wide range of applications, could not previously be provided in a simple manner. Rather, it has been observed so far that the market offers a large number of specialized products for the most varied of stresses or clinical pictures. However, each individual medical product may have to be approved in a complex manner, not least with the consequence of high costs for society or for (private) patients. In addition, the indication must then also be subsumed specifically to this product. So it could be that it becomes very time-consuming to keep a wide range of products available and to pass on the relevant specialist knowledge, especially in small practices with only a few doctors or assistants. In this respect, a contribution can be made if a medical device could be designed which can provide a wide range of functions and can be applied as variably as possible in different situations. The publication WO 03/017893 A1 describes a lap belt device for medical technology applications. The publications EP 3 143 971 A1 and US 2014/0 316 319 A1 describe an application of supporting belts in which a paüent is to be fixed for operations, in particular in connection with emergency or accident care. The publication US 5 830 168 A describes a hip basket for use in hip dislocations, in which the alignment of the pelvic shells can be geometrically adapted to the respective individual. The publication US 2004/0 139 974 A1 describes a lumbar bandage for the area of the lumbar spine.

SUMMARY OF THE INVENTION

The object is to provide a medical device with which the medical application of forces on the body of a living being in the area of the pelvis, in particular on the pelvic blades or specifically on the pelvic symphysis of a person, can be simplified or optimized with regard to the medical effect. In particular, the task is to be able to optimize the use of the medical device on the one hand for the living being and on the other hand with regard to the medical-technical effect as largely independent of the specific application and as largely independent of previous medical knowledge as possible, preferably for a very broad spectrum of applications, in particular also for the daily use in everyday life. The task can also be focused on providing an orthosis in such a way that, with maximum wearing comfort, an effective and, if possible, confhkt / error-free use for various living beings can be ensured.

This object is achieved by a device according to claim 1 and by a method and a

Use in each case according to the independent method or use claim and solved by the independent claims. Advantageous developments of the invention are explained in the respective subclaims. The features of the exemplary embodiments described below can be combined with one another, unless this is explicitly denied.

According to a first aspect, a medical-technical device is provided for flat contact with the body of a living being and for applying force to the pelvis of the living being, and for compressing the pelvic blades (or pubic symphysis, sacrum joint), in particular in the form of a belt, with:

- A size adjustment mechanism for adjusting the effective diameter of the medical device around the pelvis when used as intended in an arrangement around the living being,

- a compression mechanism for applying a predefinable force to the pelvis of the living being, in particular with a pulley / cable mechanism,

- a fastening section, preferably coupled at least to the size adjustment mechanism, set up for reversible fixing or defining or setting a selected size for the effective diameter, - A movement tolerance section set up for the movement-tolerant arrangement of Längenab sections of the medical device relative to one another; the invention proposes that the size adjustment mechanism and the compression mechanism are coupled to at least one of at least two segments of the medical device and formed thereon, with at least one of the segments being individually adjustable in length, in particular also when used as intended in an arrangement around the living being by being the fastening section extends over a minimum length of the (respective) segment in such a way that the effective diameter can be adjusted over the entire size range of the respective living being, namely at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm. This also makes setting easier and, last but not least, enables adjustment over a very wide range of variation.

The embodiment according to the invention enables in particular over the entire size spectrum of people (male, female) from an age of e.g. 12 years or from a height of e.g. 120cm or from a weight of e.g. 35kg a particularly variable adaptation of the device, without any disadvantages with regard to the medical-technical function or with regard to wearing comfort. In particular, a particularly large one-part length can be provided. In particular, this can also broaden the range of applications and improve accessibility to this technology, e.g. also with regard to costs or complexity in the application by specialists or patients.

Last but not least, there is also the advantage that the device can be made available in a single unit size in particular for almost any patient, human. In other words: the

The diameter variation can take place over such a broad spectrum that the producer or manufacturer does not necessarily have to keep different sizes available for the device. This makes the product easier to access for many patients, and the range of applications becomes even broader.

The compression mechanism and the size adjustment mechanism can be integrated into a belt device of the medical device, in particular each with a coupling function, e.g. With

Deflection function.

It is not absolutely necessary to adjust the size repeatedly. Rather, the size, depending on the application, e.g. can be predefined once by a doctor or specialist. The living being can then optionally make a readjustment or e.g. dose the force, depending on the moment

(Movement / life) situation.

In other words: the medical device can have at least two circumferential segments, in which the size adjustment mechanism and the compression mechanism and the

Movement tolerance section are integrated such that the medical device is set up for a size adjustment of the effective diameter over the size spectrum of the respective living being, in particular at least over a pelvic circumference of 90cm to 130cm, especially in particular at least over a pelvic circumference of 80cm to 140cm.

A segment is to be understood in particular as an independent medical-technical component of the device which is set up to apply the desired medical-technical function to the circumference of the living being, at least in sections, that is to say as a circumferential segment of the device. In particular, the respective segment is set up as a flexible (preferably textile), full-surface belt to provide the compression force over the entire height of the belt, in the sense of the effect of a belt.

The minimum length of the (respective) segment is to be understood in particular as a length over which a desired function must at least be ensured in order to solve the task (in particular

One size fits all, comfort, freedom of movement).

A living being is to be understood in particular as a human being, in particular a male or female adult or at least a human being at the age of a young person. In a broader sense, a living being can also be an animal, for example a monkey.

The first aspect can also be formulated more briefly as follows:

A medical device is provided, set up for flat contact with the body of a living being and set up to exert force on the pelvis of the living being and set up to compress the pelvic blades (in particular pelvic symphysis and / or sacrum joint), with:

- a size adjustment mechanism for adjusting the effective diameter of the medical device around the pelvis,

- a compression mechanism for applying a predefined compression force to the pelvis of the living being,

- a fastening section set up for reversible fixing of a selected size for the effective diameter,

- A movement tolerance section set up for the movement-tolerant arrangement of Längenab sections of the medical device relative to one another;

wherein the size adjustment mechanism and the compression mechanism are coupled to at least two segments of the medical device and at least partially formed thereon, the segments being individually adjustable in length in that the fastening section extends over a minimum length of the respective segment in such a way that the effective diameter can be adjusted over at least one Pelvic circumference of 90cm to 130cm, in particular at least a pelvic circumference of 80cm to 140cm can be realized.

According to a second aspect, a medical-technical device is provided, set up for flat contact with the body of a living being and set up to act on the pelvis of the living being, especially designed to compress the pelvic blades (especially pelvic symphysis and / or sacrum joint), especially in the form of a belt, with:

- A fastening section, preferably coupled at least to the size adjustment mechanism, set up for reversible fixing of a selected size for the effective diameter,

- A movement tolerance section set up for the movement-tolerant arrangement of Längenab sections of the medical device relative to one another; wherein it is proposed according to the invention that the movement tolerance section is designed as a relative angle section for the angle-tolerant arrangement of the length sections relative to one another, the medical device having a plurality of segments, of which at least two in the relative angle section by a

Angular tolerance unit, in particular comprising a swivel joint, can be connected / connected to one another rotatably relative to one another in such a way that pivoting of the pivoted segments relative to one another is ensured in at least one degree of freedom, in particular comprising a pivoting movement about an axis lying in the sagittal plane. As a result, the medical technology function, namely a large-area contact and a homogeneous pressure distribution, as far as possible over the entire height / width of the medical technology device, can also be improved. Last but not least, high wearing comfort with good

Freedom of movement must be ensured.

So far, closed belts are mainly used, which are not particularly advantageous to the

Adjust the body shape of the living being. According to the invention, a high degree of ergonomics and adaptability of the device can be ensured.

In particular, previous belts have the disadvantage that at least one edge area (above or below) does not lie well on the body of the living being, even when high compression forces are applied. Because the basin of many living beings, especially humans, is often built and aligned at an angle. Good tension / compression mechanisms allow a good distribution of force, but in many cases the belt twists or becomes misaligned. The inventive integration of a relative angular section can advantageously help here: The relative angular section can effect an alignment of the belt, in particular a relative arrangement of at least two segments relative to one another around an axis lying in the sagittal plane, so that the compression force can be applied over the entire width of the device , especially with comparatively large, wide devices. This optimizes not only the wearing comfort but also the medical technology effect.

In other words: the medical device can have at least two circumferential segments, in which the size adjustment mechanism and the compression mechanism and the Movement tolerance section in the form of a relative angle section are integrated in such a way that the medical device is set up for an angle-tolerant arrangement of the segments relative to one another, the segments in the relative angle section being connectable / connected to one another in such a way that they can rotate relative to one another by an angle tolerance unit, in particular by a swivel joint.

The second aspect can also be formulated more briefly as follows:

A medical device is provided, set up for flat contact with the body of a living being and set up to exert force on the pelvis of the living being and set up to compress the pelvic blades (pelvic symphysis and / or sacrum joint), with:

wherein the movement tolerance section is configured as a relative angle section for the angle-tolerant arrangement of the length sections relative to one another, wherein the medical device has a plurality of segments, of which at least two in the relative angle section through a

Angular tolerance unit comprising a swivel joint can be connected to one another rotatably relative to one another in such a way that pivoting of the pivoted segments relative to one another is ensured in at least one degree of freedom including a pivoting movement about an axis lying in the sagittal plane.

An angle tolerance unit with a swivel joint also provides a particularly low-friction angle tolerance at an exactly predefinable point, in particular in the sagittal plane. According to an advantageous variant of the present invention, the swivel joint can also be integrated into a coupling, as a result of which both the size variability and the ergonomics can be further improved.

These two aforementioned aspects can advantageously be combined with one another.

Accordingly, a previously described medical device can also be provided, in which it is proposed according to the invention that both the size adjustment mechanism and the

Compression mechanisms are coupled to at least one of at least two segments of the medical device and formed thereon, with at least one of the segments being individually adjustable in length, in particular also when used as intended in an arrangement around the living being, in that the fastening section extends over a minimum length of the (respective) Segment extends that a size adjustment of the effective diameter over the entire size range of the respective living being can be realized at least over a pelvic circumference of 80cm to 140cm, as well as that furthermore, the movement tolerance section is also configured as a relative angle section for the angle-tolerant arrangement of the length sections relative to one another, the medical device having a plurality of segments, of which at least two in the relative angle section can be rotated relative to one another by an angle tolerance unit comprising a swivel joint

can be connected / connected so that pivoting of the rotatably mounted segments relative to one another is ensured in at least one degree of freedom, including a pivoting movement about an axis lying in the sagittal plane. In this way, numerous advantages can be realized, in particular the applicability in connection with wearing comfort and medical technology effect can be improved. In particular, such devices can be improved by providing fastening means for both

Size adjustment mechanism as well as optimized for movement adjustment.

In particular, a medical device can be provided which has at least three im

Can provide functions related to the medical-technical effect of the device: as freely variable size adjustment as possible, as freely variable force setting (compression) as possible, as high as possible movement tolerance, especially in the area of the lower abdomen or lap of the living being (wearing comfort or minimization of disadvantageous side effects, especially with high compression forces and strong Relative movements).

The configurations described here as individual aspects of the present invention can be traced back to a common inventive concept, which is also expressed in particular in the fastening section and in the segment-like structure and in the functional differentiation between size adjustment and compression. A user of the device according to the invention can first set the size in a simple manner over a large range and then adjust the compression force. Two different or separately operable mechanisms can be used for this. Thus, a device can be provided which can be used in a unit size for very different living beings, without having to make changes in structural terms. In addition, the ergonomics and handling can remain comparably good in this wide range of sizes for any size. With this common inventive concept of all the exemplary embodiments described here, a movement tolerance, in particular an angle tolerance, can also be provided in an elegant manner, in particular at a fastening point of two segments fastened to one another.

It has been shown that a functional separation between size adjustment and compression not only enables greater variability, but not least also an optimal mechanism in each case, in particular a very sensitive and precisely metered compression mechanism. According to a variant of the invention, the same fastening means can be used to fix the respective mechanism. According to one embodiment, the size adjustment mechanism and the compression mechanism each have at least one positionable fastening means which is designed to correspond to the fastening section, in particular in an arrangement at a free end. This also enables an advantageous relative arrangement of the fastening means on the same fastening section and also relative to one another.

According to one embodiment, a cable pull of the compression mechanism couples at least two of the segments to one another and positions them relative to one another in such a way that the medical device in connection with the individually set length of the respective segment is set up for force adjustment and also for size adjustment of the effective diameter over the Size range of the respective living being. This integration of functions in the cable pull also provides a high level of practicality and advantages, both in terms of size adjustment (tends to be a one-off action) and in the fine adjustment of the compression effect (tends to be more frequent action).

According to an exemplary embodiment, the respective segment has a free end which can be fixed / fixed on the respective segment in the fastening section, in particular continuously over the entire length

Minimum length of the (respective) segment. Last but not least, this also favors manual operation. The free end can e.g. also include a handle, e.g. is coupled to the segment in the manner of an alligator clip, in particular to provide an advantageous operating function for the patient (living being). The free end is preferably thicker than a longitudinal section of the segment that is further in the center, in particular thicker than a passage provided by a coupling / deflector. This can bring about a self-locking, in particular for the purpose of good accessibility of the handle, or to avoid complete detachment of one segment from another segment. The (respective) free end can in particular also be designed as a semicircle. Last but not least, this also favors the integration of a rotary coupling at the very end / edge of the respective segment. This can make handling even easier.

According to one exemplary embodiment, one / the free end of the respective segment can be arranged below traction means of the compression mechanism and can be coupled to the fastening section. This arrangement also promotes high variability and is particularly user-friendly.

According to one embodiment, the effective diameter can be adjusted by means of the size adjustment mechanism at least by a factor of 1.5 or 1.75 or 2, in particular by at least a factor of 1.75. This range of variation in particular also favors the provision of the medical device in (only) a single unit size.

According to an exemplary embodiment, the fastening section extends over the minimum length of the (respective) segment in such a way that both the compression mechanism and the size adjustment mechanism can be determined on the fastening section. This integration of functions in the fastening section also provides a high level of practicality.

According to an exemplary embodiment, the fastening section extends completely along the respective segment, in particular both on its inside and on its outside. This provides maximum variability in terms of size adjustment, facilitates handling, favors the interaction of the compression and size adjustment mechanism, and also provides advantages with regard to a

Function integration for realizing a movement A-angle tolerance.

According to one embodiment, the cable pull can be fixed / fixed on at least one of the segments, in particular steplessly. This can also provide a large range of adjustment.

According to one embodiment, a bearing housing of the compression mechanism extends over a proportion of at most 5 to 10% in relation to the effective diameter. This compact design enables the diameter variability to be maximized even more effectively.

According to one embodiment, the respective segment in the fastening section has a textile

Closure means, in particular a Velcro fastener or at least one component thereof, which extends over at least 50% of the effective circumferential length of the segment, in particular over at least 70% or over at least 85%, in particular over at least 35cm to 65cm, depending on

Diameter / size adjustment. This distribution of the fastening means or closure means in the fastening section also provides high variability.

For example, the fastening section is made from velor material. For example, the fastening section extends over the entire length of the segment, in particular over the inside. The

Fastening section can in particular be designed as a loop component of a Velcro fastener (English: hook-and-loop fastener). Corresponding fastening means, in particular in an arrangement at a free end of the respective segment, can in particular be designed as a hook / hook component, for example over a section of 10 cm.

According to one embodiment, a / the fastening means, in particular textile, extends

Closure means of the effectively usable fastening section over a circumference of at least a factor of 4 or 1/3 times the number of circles Pi in relation to the respectively selected effective diameter, in particular on the respective segment up to 40% or 45% of the circumference. This extension also provides a high level of practicality.

According to one embodiment, the cable pull has a free end, which at a free

Length section with a length greater than the selected distance from one / the free end of the respective segment (in particular relative to the coupling on the bearing housing) can be coupled to at least one of the segments is. This arrangement relative to one another also has advantages in terms of accessibility and frequency of operation.

According to one embodiment, the compression mechanism is integrated into the size adjustment mechanism or vice versa, in particular in that the compression mechanism engages at least one, preferably at least two / both segments of the medical device and is / is positioned by the respective segment. This functional integration also enables a particularly robust and useful concept. In particular, the compression mechanism can comprise a cable pull coupling, which at the same time also provides a counter bearing or a deflection for the respective segment.

According to one embodiment, the relative angle section is opposite from

Compression mechanism arranged, especially when used as intended in the sagittal plane. This makes it possible to ensure an advantageous degree of movement tolerance without impairing other functions of the device.

According to one embodiment, the medical device is made up of two segments which are coupled / can be coupled to one another at their free ends in the relative angular section in a predefinable relative position (in particular can be coupled reversibly, in particular by means of textile closure means), in particular from two segments with at least approximately the same length. This at least two-part concept with accessibility from the front enables not only good movement tolerance properties but also simplified handling, e.g. when putting on / taking off the device. In particular, operation by the living being can also be facilitated. The device can e.g. can be opened and closed easily accessible at the front, especially without additional help from third parties.

According to one embodiment, the relative angle section comprises a first coupling part, in particular in the form of a turntable, and a second coupling part, in particular in the form of a fixation for a / the turntable, with a reversible fastening means preferably being formed on the first coupling part, in particular a textile closure means. The integration of a swivel joint or

Rotation mechanism in the relative angular section has also proven to be advantageous in that the force distribution over the length and width of the device can be homogenized, in particular largely independent of the material or the rigidity or the width of the device.

A design as a turntable also provides advantages with regard to the adaptability of the device, i.e. with regard to its variability, and can also optimize the wearing comfort and the medical-technical effect, in particular with regard to a continually optimal, completely flat contact with the body of the living being, if possible in all situations. For example, the turntable has a diameter in the range from 40 to 60 mm, in particular with an effective diameter of integrated therein

Fasteners in the range of 50mm. The individual components of the rotary coupling are preferred as flat disc or flat ring designed, in particular with a thickness in the range of only a few millimeters (single-digit millimeter range). This favors the functional integration into the segments, in particular in such a way that the wearing comfort or other medical-technical functions are not impaired.

According to one embodiment, the angle tolerance unit in the Relativwinkelab is integrated as a swivel joint in adjacent segments, in particular over the entire height of the segments, in particular by welding, punching and / or hemming. This provides an advantageous embodiment both in terms of ergonomics and comfort and handling.

According to one embodiment, the angle tolerance unit has the same type of fastening means in the relative angle section as the size adjustment mechanism, in particular textile fastening means in the form of a Velcro fastener. This also enables a further increase in variability.

According to one exemplary embodiment, the angle tolerance unit provides a turning diameter of at least 4 cm, in particular at least 5 cm or at least 6 cm, in particular by means of a sliding pair with a minimum sliding diameter of 5 cm. This also provides advantages in terms of functional integration in the movement tolerance section.

According to an exemplary embodiment, the angle tolerance unit is set up and arranged for a relative rotational movement of the segments about a pivot point which is arranged at least approximately in the sagittal plane. This also provides particularly good ergonomics and promotes full contact of the device on the body of the living being.

According to one embodiment, the relative angle section is set up for a size variation of the effective diameter of the medical device, in particular by means of a corresponding fastening means for angle tolerance extending over a second minimum length section. This enables further variations in size and can also ensure more extensive functional integration into the relative angle section, not least with the result of easier handling or better ergonomics (in particular accessibility at the front in the area of the abdomen of the living being).

According to one embodiment, at least three functions are integrated into the relative angle section, at least comprising the functions: angle tolerance by means of a rotary mechanism, size adjustment of the effective diameter, opening / closing of the medical device by means of a reversible

Fastening means for the intended application of the medical device. This provides further optimization in terms of handling, ergonomics and range of applications. In particular, the size adjustment mechanism can also optionally be provided at least partially by the relative angle section. It has been shown that the relative angular section can advantageously be provided by a swivel joint with the largest possible surface area with the largest possible coupling / fastening surface. In particular, it has proven to be advantageous to provide the relative angular section over the entire height or width (longitudinal dimension) of the medical device. For simple, intuitive operation, even by laypeople, it can be advantageous to geometrically integrate the relative angle section into the geometry of the medical device or to adapt it to it; Specifically, the relative angle section can be designed at a free end of a segment of the medical device, in particular with a part designed as a semicircular free end, and the corresponding coupling section at the other segment to be coupled can also be designed, for example, as a semicircular free end

(in particular hemmed in a semicircle), the corresponding fastening means or

Fastening sections can each extend over the entire available contact area. In this way, for example, a secure coupling can also be provided by means of a Velcro fastener (textile fastener). The user recognizes that the free ends can be arranged or coupled to one another in an overlapping manner according to their diameter, and that an arrangement which overlaps to a greater extent can optionally also be selected, e.g. In order to be able to uncouple the medical device at the front during certain movements (e.g. when sitting down) and to couple it in a further relative arrangement (larger effective diameter) while sitting.

For a swivel joint of the relative angle section, in particular a sliding pairing can be chosen in which no lubricant is required, e.g. a sliding pair made of two low-friction plastics. The individual coupling elements of the swivel joint can in particular be incorporated into the respective segment by means of welding, gluing, stamping and / or hemming.

According to one embodiment, the medical device is designed as a multi-part belt. This favors e.g. also the handling and also facilitates the functional integration according to the invention.

According to one embodiment, the medical device is formed exclusively from segments which are to be arranged in the circumferential direction around the body of the living being, in particular in a single transverse plane in a predefinable height position in relation to the pelvis of the living being. In other words: the medical device can be set up to be positioned and fixed on the body of the living being without shoulder straps or chest straps or other cross struts.

According to one embodiment, the medical device is made up of only two belt parts which form the segments. This structure is particularly simple, easy to handle and also enables a particularly large adjustment range without requiring particularly complicated, sophisticated technical measures. According to one embodiment, the compression mechanism is integrated into the size adjustment mechanism in such a way that the compression force is set or adjusted by fine adjustment of the effective diameter.

is applied. This also enables the device to be individualized using just a single handle, which can ensure particularly easy, intuitive operation.

According to one embodiment, the fastening section (s) and / or fastening means of the medical device can be characterized or identified by at least one of the following parameters.

characterized: tensile shear strength, tear strength, peel resistance, in particular in relation to a design of the fastening means as a Velcro fastener. These characteristic parameters can also each define how large e.g. the fastening force should be. The (respective) fastening means can be optimally designed for the individual case via these parameters, e.g. regarding the strength of children, adolescents or adults.

According to an exemplary embodiment, the fastening section is formed both on the outer surface and on the inner surface of the respective segment. Last but not least, this also favors the integration of functions and a / the interaction of the size adjustment mechanism, compression mechanism and

Movement tolerance section.

According to one embodiment, three fastening functions are integrated into the fastening section: fastening a free end of the respective segment, fastening a free end of a / the pulling unit of the compression mechanism, fastening two segments to one another for coupling the segments, in particular in the movement tolerance section. This integration of functions favors the interaction of the advantages already mentioned.

According to one embodiment, a / the fastening means of the size adjustment mechanism and a / the fastening means of the compression mechanism are in series one behind the other in the longitudinal direction

Fastening section can be coupled, in particular over a length section corresponding to at least a factor of 4 or 1/3 times the number of circles Pi in relation to the effective diameter, in particular on the respective segment in a length section of up to 35% or 45% of the circumference. This relative arrangement and the use of the fastening portion by at least two fastening means also provide a simple,

self-explanatory structure and facilitate handling by patients.

According to one embodiment, the medical device is an orthosis, in particular

Pelvic ring orthosis designed. In the embodiment as an orthosis, in particular a pelvic ring orthosis, the measures according to the invention can be particularly effective and have a particularly advantageous effect. ITEM1 The above-mentioned object is also achieved in particular by a medical device designed for flat contact with the body of a living being and designed for applying force to the pelvis of the living being, in particular designed for compressing the pelvic blades (pelvic symphysis and / or sacrum joint), in particular in the form of a belt , With:

a size adjustment mechanism for setting the effective diameter of the medical device around the pelvis, a compression mechanism for applying a predefinable force to the pelvis of the living being, in particular with a pulley / cable mechanism, a fastening section coupled to the size adjustment mechanism designed for reversible fixing of a selected size for the effective diameter, a movement tolerance section set up for the movement-tolerant arrangement of length sections of the medical device relative to one another; wherein the size adjustment mechanism and the compression mechanism are coupled to at least one of at least two segments of the medical device and at least partially formed thereon, with at least one of the segments being individually adjustable in length by the fastening section extending over a minimum length of the (respective) segment that a

Size adjustment of the effective diameter can be realized over the size spectrum of the respective living being, in particular at least over a pelvic circumference of 90cm to 130cm, especially in particular at least over a pelvic circumference of 80cm to 140cm; wherein the size adjustment mechanism and the compression mechanism each have at least one positionable fastening means which is designed to correspond to the fastening section, in particular each in an arrangement at a free end; A cable of the compression mechanism couples at least two of the segments to one another and positions them relative to one another in such a way that the medical device in connection with the individually set length of the respective segment is set up for force adjustment and also for size adjustment of the effective diameter over the size range of the respective Living being; wherein the effective diameter can be adjusted by means of the size adjustment mechanism at least by a factor of 1.5 or 1.75 or 2, in particular by a factor of at least 1.75; wherein the respective segment in the fastening section has a / the positionable fastening means in the form of a textile fastener, in particular a Velcro fastener, which extends over at least 50% of the effective circumferential length of the segment, in particular over at least 70% or over at least 85%, in particular over at least 35cm up to 65cm; wherein the medical device is designed as an orthosis, in particular a pelvic ring orthosis. In this way, numerous advantages mentioned above can be realized, in particular in connection with or in relation to a size adjustment over the largest possible area (user view) and / or with regard to providing the device in only a single unit size (manufacturer view).

ITEM2 The above-mentioned object is also achieved in particular by a medical device designed for flat contact with the body of a living being and designed for applying force to the pelvis of the living being, in particular designed for compressing the pelvic blades (pelvic symphysis and / or sacrum joint), in particular in the form of a belt , With: a size adjustment mechanism for setting the effective diameter of the medical device around the pelvis, a compression mechanism for applying a predefinable force to the pelvis of the living being, in particular with a pulley / cable mechanism, a fastening section coupled to the size adjustment mechanism designed for reversible fixing of a selected size for the effective diameter, a movement tolerance section set up for the movement-tolerant arrangement of length sections of the medical device relative to one another; the movement tolerance section being configured as a Relativwinkelab section for the angularly tolerant arrangement of the length sections relative to one another, the medical device having a plurality of segments, of which at least two in the relative angular section can be connected / connected to one another in such a way that they can rotate relative to one another in the relative angular section by an angular tolerance unit, in particular comprising a swivel joint are that a pivoting of the rotatably mounted segments is ensured relative to each other in at least one degree of freedom, in particular including a pivoting movement about an axis lying in the sagittal plane, the relative angular section opposite from

Compression mechanism is arranged, especially when used as intended in the sagittal plane; wherein the medical device is constructed from two segments which are coupled / can be coupled to one another at their free ends in the relative angular section, in particular from two segments with at least approximately the same length; wherein the relative angle section comprises a first coupling part in the form of a turntable and a second coupling part in the form of a fixation for the turntable. As a result, numerous advantages mentioned above can be realized, in particular in connection with or in relation to an intended medical-technical effect even with relative movements in the sagittal plane or with pivoting movements of segments of the device relative to one another.

ITEM3 The above-mentioned object is also achieved in particular by a medical device set up for flat contact with the body of a living being and set up for applying force to the pelvis of the living being, in particular set up for compressing the pelvic blades (pelvic symphysis and / or sacrum joint), in particular in the form of a belt , with a

Size adjustment mechanism for adjusting the effective diameter of the pelvis

medical device, a compression mechanism for applying a / the predefinable force to the pelvis of the living being, in particular with a pulley / cable mechanism, a fastening section coupled to the size adjustment mechanism set up for reversibly determining a selected size for the effective diameter, a movement tolerance section set up for a movement-tolerant arrangement of Length sections of the medical device relative to one another; wherein the size adjustment mechanism and the compression mechanism are coupled to at least one of at least two segments of the medical device and at least partially formed thereon, wherein at least one of the segments is individually adjustable in length in that the fastening section extends over a minimum length of the (respective) segment that a

Size adjustment of the effective diameter can be realized over the size spectrum of the respective living being, in particular at least over a pelvic circumference of 90 cm to 130 cm, especially in particular at least over a pelvic circumference of 80cm to 140cm; wherein the size adjustment mechanism and the compression mechanism each have at least one positionable fastening means which is designed to correspond to the fastening section, in particular each in an arrangement at a free end; A cable of the compression mechanism couples at least two of the segments to one another and positions them relative to one another in such a way that the medical device in connection with the individually set length of the respective segment is set up for force adjustment and also for size adjustment of the effective diameter over the size range of the respective Living being; wherein the effective diameter can be adjusted by means of the size adjustment mechanism at least by a factor of 1.5 or 1.75 or 2, in particular by a factor of at least 1.75; wherein the respective segment in the fastening section has a / the positionable fastening means in the form of a textile fastener, in particular a Velcro fastener, which extends over at least 50% of the effective circumferential length of the segment, in particular over at least 70% or over at least 85%, in particular over at least 35cm up to 65cm; wherein the movement tolerance section as

Relative angle section is designed for the angularly tolerant arrangement of the length sections relative to one another, the medical technology device having a plurality of segments, of which at least two in the relative angle section can be connected / connected to one another rotatably relative to one another by an angular tolerance unit, in particular comprising a swivel joint, so that pivoting of the rotatably mounted segments is ensured relative to one another in at least one degree of freedom, in particular comprising a pivoting movement about an axis lying in the sagittal plane, wherein the

Relative angular section is arranged opposite the compression mechanism, in particular when used as intended in the area of the sagittal plane; wherein the medical device is constructed from two segments which are coupled / can be coupled to one another at their free ends in the relative angular section, in particular from two segments with at least approximately the same length; wherein the relative angle section comprises a first coupling part in the form of a turntable and a second coupling part in the form of a fixation for the turntable. This enables numerous advantages mentioned above to be realized, in particular in combination with one another.

The aforementioned object is also achieved in particular by a method for setting the effective diameter and an applied force of a

Medical device in the form of a pelvic ring orthosis in flat contact with the body of a living being for the application of force on the pelvis of the living being to compress the pelvic blades (pelvic symphysis and / or sacrum joint), in particular by means of a medical device described above, wherein:

the effective diameter of the medical device is set by means of a size adjustment mechanism, and

-an application of a / the predefinable force on the pelvis of the living being by means of a

Compression mechanism takes place, The setting of the diameter and the application of the force take place in that a steplessly positionable fastening means on the one hand of the size adjustment mechanism and on the other hand of the compression mechanism are reversibly fixed in one / the same fastening section of the medical device, in particular at different circumferential positions, the

Fastening section extends over a minimum length, so that the size and force adjustment is realized over the size spectrum of the respective living being, namely at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to the use of only a single unit size of the device.

Many of these steps can be done manually. The application / removal or at least the setting of force and size can, however, also take place in an at least partially automated manner or with the support of actuators, in particular with an individual drive for the

Size adjustment mechanism and for the compression force adjustment mechanism. For example, one or more actuators are integrated into the device, in particular actuators set up to apply a tensile force. Optionally, energy stores coupled thereto can also be integrated into the device. Last but not least, a data memory can also be provided in which e.g. the course of force measurement values can be written so that e.g. the medical-technical effect exerted on the living being over a certain period of time can be monitored. The data can e.g. read out or shown on a display unit.

Medical device in flat contact with the body of a living being for applying force to the pelvis of the living being, in particular for compressing the pelvic blades (pelvic symphysis and / or sacrum joint), in particular by means of a medical device described above, wherein:

Compression mechanism takes place, and doing so

a movement-tolerant arrangement of length sections of the medical device relative to one another takes place in a movement tolerance section;

The setting of the diameter and the application of the force take place in that a steplessly positionable fastening means on the one hand of the size adjustment mechanism and on the other hand of the compression mechanism is reversibly fixed in one / the same fastening section of the medical device, in particular at different circumferential positions, with at least two segments of the medical device be stored in the movement tolerance section in an angularly tolerant arrangement relative to one another by means of an angular tolerance unit, in particular in one Rotary joint that a pivoting of the pivoted segments relative to each other in at least one

Degree of freedom takes place, in particular comprising a pivoting movement about an axis lying in the sagittal plane. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to particularly simple handling (opening / closing vome) and a particularly advantageous fit and large-area medical technology effect.

Medical device in flat contact with the body of a living being for the application of force on the pelvis of the living being, in particular for compressing the pelvic blades (pelvic symphysis and / or sacrum joint), in particular by means of a previously described medical device, wherein:

Compression mechanism takes place, and doing so

The setting of the diameter and the application of the force take place in that a steplessly positionable fastening means on the one hand of the size adjustment mechanism and on the other hand of the compression mechanism are reversibly fixed in one / the same fastening section of the medical device, in particular at different circumferential positions, the

Fastening section extends over a minimum length, so that the size and force adjustment over the size spectrum of the respective living being is realized at least over a pelvic circumference of 80cm to 140cm; furthermore

the setting of the diameter and the application of the force take place in that in each case a continuously positionable fastening means on the one hand the size adjustment mechanism and on the other hand the

Compression mechanism is reversibly fixed in one / the same fastening section of the medical device, in particular at different circumferential positions, with at least two segments of the medical device being mounted in the movement tolerance section in an angle tolerant arrangement relative to one another by means of an angle tolerance unit, in particular in one

Rotary joint that a pivoting of the pivoted segments relative to each other in at least one

Degree of freedom takes place, in particular comprising a pivoting movement about an axis lying in the sagittal plane. As a result, the aforementioned advantages can be realized, in particular in connection with or in relation to a combination of scaling advantages and wearing comfort advantages.

According to one embodiment, when the diameter is set and / or the force is applied, the force applied is recorded, in particular by means of a measuring device integrated in the bearing housing of the size adjustment mechanism, with a predefinable maximum force threshold value being exceeded a signal is generated by means of a signal transmitter. Last but not least, this can also facilitate handling by laypeople or avoid incorrect operation with potentially disadvantageous medical consequences for the living being.

The above-mentioned object is also achieved in particular by using a medical device designed as a pelvic ring orthosis, in particular one described above

medical device, in flat contact with the body of a living being and for compressing the pelvic blades or pelvic symphysis of the living being, wherein the medical device has at least two segments in which a size adjustment mechanism and a compression mechanism and a movement tolerance section are integrated in such a way that the segments during the force - and size adjustment are each adjusted in length and are / are coupled to a cable for applying the compression force, the length of the respective segment being fixed / defined on a fastening section which extends over the length of the respective segment in such a way that a size adjustment of the effective diameter can be realized over the (entire) size spectrum of the living being, namely at least over a pelvic circumference of 80cm to 140cm. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to the first aspect of the invention.

The above-mentioned object is also achieved in particular by using a medical device, in particular a medical device described above, in flat contact with the body of a living being and for compressing the pelvic blades or pelvic symphysis of the living being, in particular in the form of a pelvic ring orthosis, the medical device at least has two segments, in which a size adjustment mechanism and a compression mechanism and a movement tolerance section are integrated in the form of a relative angle section in such a way that the medical device is used for an angle-tolerant arrangement of the segments relative to one another, the segments in the relative angle section by an angle tolerance unit comprising a swivel joint, relative be connected to one another rotatably, in particular reversibly detachable from one another by means of textile closure means. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to the second aspect of the invention.

The above-mentioned object is also achieved in particular by using a medical device, in particular a medical device described above, in flat contact with the body of a living being and for compressing the pelvic blades or pelvic symphysis of the living being, in particular in the form of a pelvic ring orthosis, the medical device at least has two segments in which a size adjustment mechanism and a compression mechanism and a movement tolerance section are integrated in the form of a relative angle section in such a way that, on the one hand, the length of the segments is set in the force and size setting and the length of the respective segment is fixed / defined on a fastening section which extends over the length of the respective segment in such a way that a size adjustment of the effective diameter over the The size spectrum of the living being can be realized, in particular at least over a pelvic circumference of 80cm to 140cm, and that on the other hand the medical device is used for an angularly tolerant arrangement of the segments relative to one another, the segments being rotatable relative to one another in the relative angular section by an angular tolerance unit, in particular by a swivel joint are connected to one another, in particular reversibly detachable from one another by means of textile closure means. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to a combination of the first and second aspect of the invention.

The above-mentioned object is also achieved in particular by a medical device in the form of a pelvic ring orthosis set up for flat contact with the body of a living being and set up for applying force to the pelvis of the living being, and set up for compressing the pelvic blades, in particular the medical device described above, manufactured by

Providing at least two segments forming the device over the circumference of the living being, in which both a compression mechanism for applying the desired force and a

Size adjusting mechanism for adjusting the effective diameter of the medical device is integrated / is, and further manufactured by forming and arranging at least one

Fastening section over a minimum length on the respective segment such that both the

Compression mechanism and the size adjustment mechanism continuously reversible on the

Fastening section can be determined and the segments are individually adjustable in length, whereby the effective diameter can be adjusted over the size spectrum of the respective living being, namely at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to the use of a single medical device in a unit size, with the simplest possible handling. In particular, seaming and / or punching can be used for production, in particular when connecting fastening means and belt material, optionally also sewing, clamping and / or welding and / or gluing.

The above-mentioned object is also achieved in particular by a medical device designed as a pelvic ring orthosis designed for flat contact with the body of a living being and designed to apply force to the pelvis of the living being and to compress the pelvic blades, in particular designed as a pelvic ring orthosis, in particular the medical device described above , produced by providing at least two segments forming the device over the circumference of the living being, in which both a compression mechanism for applying the desired force and a size adjusting mechanism for adjusting the effective diameter of the medical device are integrated, and further produced by forming and Arranging a movement tolerance section set up for a movement-tolerant arrangement of the segments relative to one another on the segments, in particular on free ends of the segments, the Bew Tension tolerance section set up as a relative angle section for the angle-tolerant arrangement of the length sections relative to one another is designed in that an angular tolerance unit, in particular a swivel joint, is integrated into the relative angular section in such a way that the segments are connected to one another so that they can rotate relative to one another and that pivoting of the pivoted segments relative to one another is ensured in at least one degree of freedom, in particular comprising a pivoting movement around one in axis lying in the sagittal plane. In this way, the aforementioned advantages can be realized, in particular in connection with or in relation to optimal wearing comfort and a homogeneous medical-technical effect over the entire width or height of the device. In particular, hemming and / or punching can be used for production, in particular when connecting fastening means and coupling components, optionally also sewing and / or welding and / or gluing.

The above-mentioned object is also achieved in particular by a medical device set up for flat contact with the body of a living being and set up to act on the pelvis of the living being and set up to compress the pelvic blades, in particular in

Design as a pelvic ring orthosis, in particular the medical device described above, produced by forming and arranging at least one fastening section over a minimum length on at least one respective segment or length section of the medical device in such a way that both a compression mechanism and a size adjustment mechanism can be continuously reversibly locked on the fastening section and thereby the segment or the length section is individually adjustable in length, the size of the effective diameter of the medical device being able to be adjusted over the size spectrum of the respective living being, in particular at least over a pelvic circumference of 90cm to 130cm, especially in particular at least over a pelvic circumference of 80cm to 140cm; and further made by forming and arranging one

Movement tolerance section set up for a movement-tolerant arrangement of at least two

Length sections or segments of the medical device relative to each other at the segments or length sections, namely at free ends of the segments, the movement tolerance section being configured as a relative angle section for the angle-tolerant arrangement of the segments or length sections relative to one another by inserting an angle tolerance unit, in particular a swivel joint, into the Relative angle section is integrated that the segments or length sections are rotatably connected to one another and that pivoting of the pivoted segments or length sections is ensured relative to one another in at least one degree of freedom, including a pivoting movement about an axis lying in the sagittal plane. In this way, the aforementioned advantages can be realized, in particular by optimizing both handling and providing in a unit size as well as wearing comfort and the medical-technical effect. In particular, welding, punching, gluing and / or hemming or sewing can be used for the production, in particular using velor or Velcro material for the fastening sections.

The following is a general example of handling the present invention

medical device explained. Put on: the ventral coupling is opened and the belt is placed around the living being; After closing the ventral coupling, the length can be adjusted in conjunction with the adjustment of the

Compression force; the length adjustment can take place roughly via at least one of the segments (in particular component 14), and finely via the cable pull or via the pulling unit (in particular component 22).

Take off: the belt is relaxed via the cable pull, and optionally at least one of the segments is opened or released; as a result, the force applied can already be reduced in such a way that the ventral coupling can be opened.

Readjustment or adjustment: A particularly fine adjustment can be made using the cable; a rather coarse size adjustment can be made via the ventral coupling (formed by adjacent free ends of the segments) and / or by repositioning the respective free end on the corresponding segment.

In summary, it can be stated that the present medical device according to the invention in an identical or at most slightly modified configuration for a large number of different living beings, e.g. can be provided over a comparatively large range of sizes and can advantageously be operated easily. When viewed together, the advantages of an optimized fit of the device on the body of the living being can primarily be realized, and also the advantages of optimized handling, in particular in combination with one another.

BRIEF DESCRIPTION OF THE FIGURES

The invention is described in greater detail in the following drawings, reference being made to the other drawing figures for reference symbols that are not explicitly described in a respective drawing figure. Show:

FIGS. 1A, 1B, IC, ID, IE, 1F, IG, 1H, 1J, 1K in different overall views and in detailed views, each in a schematic representation of a medical device according to an exemplary embodiment;

Figures 2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H, 2J, 2K in different views

medical device according to a further embodiment;

Figures 3A, 3B, 3C in different views each one in detail

Movement tolerance section of a medical device according to one of the exemplary embodiments.

DETAILED DESCRIPTION OF THE FIGURES

The invention will first be explained in general with reference to all figures; individual special features of exemplary embodiments are specified with reference to individual figures.

A medical device 100 comprises a belt device 10 with a first segment 11 and a second segment 12, each of which has a free end 13 on which a manual

Point of attack 14 or a manual contact surface or a manual attack element (for example a tab made of comparatively hard, slightly pre-bent plastic) is provided. The respective segment has a Inner surface 16 or inner side and an outer surface 17 or outer side, each of which is assigned an adjustment or fastening functionality. An adjustment can in particular be indicated in the

Length sections 18 take place, depending on the individual (length) setting of the belt device. A size adjustment can take place by means of positionable fastening means 15, wherein the fastening means can in particular be steplessly positionable, in particular in the form of a textile closure means, in particular as part of a Velcro fastener.

In the arrangement shown in FIG. 1A, the segments extend essentially in the longitudinal direction x, in which a size adjustment (effective length of the belt) can also take place.

A size adjustment mechanism 20 (or diameter adjustment mechanism or mechanism for adjusting the effective length of the segments) is implemented together with a compression mechanism 20a on a dorsal side of the device 100 and comprises a plurality of deflections 21 per segment, the deflections 21 e.g. low-friction bearings can be provided by rollers or the like, which can each be enclosed in a bearing housing 27. By guiding a traction means 26, in particular a rope, over the deflections 21 of both segments, a compression force can be applied and dosed by pulling on a traction unit 22 so that a force transmission can be provided by means of at least one rope pull 21a. Comparable to the design of the free end of the respective segment, the pulling unit can have a free end 23 with a manual point of application 24, e.g. provided by a ring.

The cable pull is moved essentially orthogonally to the transverse direction y, or the force exerted by the cable pull acts essentially orthogonally to the transverse direction y in the arrangement shown in FIG. 1A. The cable pull is also guided over the free end 13 of the first (or optionally the second) segment. For this purpose, the free end 13 can also have a guide edge (radius or bead or elevation) over which the cable 26 e.g. can be guided in the y-direction.

Comparable to the design of the fastening means 15 on the underside of the free end 13, a positionable fastening means 25 for force / size adjustment can be integrated into the pulling unit 22, in particular continuously positionable, in particular in the form of a textile closure means.

A coupling 28 for one of the segments is provided on the respective bearing housing 27, in particular in the form of a rod or a roller mounted on rotation (rotation axis or deflection axis in y-orientation). A measuring device 29, in particular with a force sensor, can be provided in the area of the cable pull on the bearing housing and comprise a signal transmitter 29a, in particular for the purpose of at least partially automated

Adjustability and / or for the purpose of more precise manual or automated power metering. For example, an adjustment actuator can be provided which keeps the tensile force at a predefinable minimum level. Each segment has a comparatively elongated fastening section 30 which is set up for a comparatively large variation in length. The fastening section 30 preferably extends both on the inside and on the outside of the respective segment, in particular over the entire length of the segment. In the fastening section 30, on the one hand, corresponding fastening means 35 can be provided for size adjustment (in particular textile fastening means, in particular provided on the outside), and on the other hand, corresponding fastening means 39 for an optional

Angular tolerance (in particular textile closure means, in particular provided on the inside). In this way, great variability can also be ensured, in particular with regard to a unit size of the device 100.

Optionally, a rotary coupling can be provided by means of which a movement tolerance by one

Pivot axis Z or a pivot angle a is provided. This aspect of a movement tolerance about an axis of rotation can be explained by referring to reference numbers 40ff. be explained: a

Movement tolerance section 40 or a movement tolerance unit (also referred to here as a relative angle section) comprises an angle tolerance unit 41, in particular in the form of a swivel joint, with a first coupling part 42, in particular in the form of a turntable, and with a second coupling part 43, in particular in the form of a fixation for one / the turntable. The segments can be positioned relative to one another on fastening means 49, in particular in the form of a textile closure means, which can extend over the (almost entire) surface of the rotary plate 42.

In the Fig. Lff. an exemplary embodiment is shown which provides a maximum size adjustment range and can be provided, for example, in a single unit size. From the Fig. Lff. it can be seen that the fastening sections 35, 39 together can form a ventral coupling via which the device can also be put on / taken off. The coupling takes place in particular by means of textile closure means such as e.g. Velcro fastener.

In Fig. 1A (top view) the device 100 is shown in a basic setting: a first of the free ends of the respective segment is fixed to the corresponding segment in a desired relative position to define the effective length of the device, and the pulling unit 22 is also on the Fixed outside of one of the segments. The respective second free end of the respective segment is not yet coupled to the corresponding free end. The fastening section 35 extends essentially over the entire length of the segments and is defined by the fastening means 35.

In Fig. 1B (bottom view) the inside 16 of the segments is shown; The fastening section also extends over the inside and is defined by the fastening means 35, 39 (in particular Velcro).

In Fig. IC (side view) it can be seen that the exposed free ventral ends of the segments taper off flat. The inside of one free end can be ventral to the outside of the other free end Form coupling. Since the fastening means 35, 39 are provided over a large length section, the size can optionally also be adjusted by means of this coupling. A slight curvature of the bearing housing 27 radially outwards, that is to say a convexity in the lateral direction, can further optimize the ergonomics and comfort as well as the power transmission. Corresponding fastening means 15, 25 are provided on the underside of the engagement elements 14, 24 or on the underside of the pulling unit 22.

In Fig. ID (detailed side view) it is shown that the bearing housings 27 are flush with the respective segment. In other words: the segments are placed around the clutches 28 from below and turned back from above onto the outside of the corresponding segment. FIG. ID shows a / the slight convex curvature of the bearing housing 27 radially outwards.

The more or less symmetrical structure of the two segments can be seen in FIG. IE (perspective front view), the cable pull being guided to only one of the segments by means of the pulling unit 22 and being fastened there. Optionally, two pulling units can be provided on both sides for operation on both segments.

In Fig. 1F (perspective rear view) the completely textile interior is shown; for example, velor is provided, with the inside also being able to be designed entirely as a fastening section.

In FIGS. IG, 1H (perspective front and rear view), one of the free ends of a segment is shown in detail with a view of the outside (FIG. IG) and a view of the inside (FIG. 1H). The free end is rounded, with a radius at least approximately corresponding to half the width of the segment.

In FIG. 1J (perspective view in the ventral direction) and in FIG. 1K (perspective view in the dorsal direction) the individual components of the device 100 are shown in a coupled state. The two ventral ends of the segments are coupled to one another in a minimally overlapping manner, that is to say in such a way that the effective diameter of the device can optionally be as large as possible. The symbol shown on the two bearing housings corresponds to an optional logo (not shown in the other figures), without any further technical function.

In Figs. 2ff. shows an embodiment with a rotation tolerant ventral coupling. The

Viewing directions in FIGS. 2A, 2B, 2C, 2D, 2E, 2F, 2G, 2H, 2J, 2K correspond to those in FIGS. 1ff.

2J indicates the axis Z for the relative rotational movement on the ventral rotary coupling 45 or in the angular tolerance unit 41.

The in connection with FIGS. 2ff. Additional features shown, in particular relating to the ventral swivel joint, can also be used without the in connection with FIGS. features already described regarding size adjustment or unit size can be realized. The angle tolerance unit 41 is described in more detail in FIGS. 3A, 3B, 3C.

Fig. 3 A shows a coupled state in plan view. 3B, 3C each show a detailed sectional view of the individual components of the textile rotary coupling 45 formed in the angular tolerance unit 41 Segment stored at the free end. The turntable 42 is arranged more or less at the very end of the segment, which is also advantageous in terms of ergonomics. A bearing surface 42.1 for a relative rotary movement is provided on the turntable 42, and a corresponding bearing surface 43.1 is provided on the fixation 43 for the relative movement. The bearing surfaces can, for example, be designed from a friction-minimized, sliding material pairing, for example from plastic. At the interface of the two fastening means 39, 49 an angle-tolerant rotary coupling 45 is formed with textile closure means.

Related characters list

10 Belt device

11 First segment

12 Second segment

13 Free end of a segment

14 Manual attack point or manual attack surface or manual attack element

15 Positionable fastening means for size adjustment, in particular steplessly positionable, in particular textile closure means

16 inner surface or inner side

17 outer surface or outer side

18 length section

20 size adjustment mechanism or diameter adjustment mechanism

20a compression mechanism

21 deflection (compression mechanism or cable pull)

21a cable

22 pulling unit (compression mechanism or cable pull)

23 Free end of the pulling unit

24 Manual point of attack or manual attack surface or manual attack element

25 Positionable fastening means for force / size adjustment, in particular continuously positionable, in particular textile closure means

26 traction means, especially rope (compression mechanism or rope pull)

27 bearing housing (compression mechanism)

28 Coupling for belt device, in particular for a segment of the belt device

29 measuring device, especially force sensor

29a signal transmitter

30 mounting section

35 Corresponding fastening means for size adjustment, in particular textile fastening means, in particular provided over the first minimum length section, in particular on the outside

39 Corresponding fastening means for angle tolerance, in particular textile closure means, in particular provided over a second minimum length section, in particular on the inside

40 Movement tolerance segment or movement tolerance unit (relative angle segment)

41 Angle tolerance unit, in particular swivel joint

42 first / first coupling part, in particular turntable

42.1 Storage area for relative movement 43 second / second coupling part, especially fixation for turntable

43.1 Storage area for relative movement

45 Angle-tolerant ventral rotary coupling with textile locking means

49 Fastening means for angle tolerance, in particular textile fastening means

100 Medical technology device x longitudinal direction, in particular belt extension direction (optionally circumferential direction) y transverse direction

Z swivel axis a swivel angle (rotation around the pivot point of the angle tolerance unit)

Claims

1. Medical-technical device (100) set up for flat contact with the body of a living being and set up for the action of force on the pelvis of the living being and set up for compressing the pelvic blades, with:

- A size adjustment mechanism (20) for adjusting the effective diameter of the medical device around the pelvis,

- A compression mechanism (20a) for applying a predefinable force to the pelvis of the living being, in particular with a pulley / cable mechanism,

- A fastening section (30) set up for reversibly fixing a selected size for the effective diameter,

- A movement tolerance section (40) set up for the movement-tolerant arrangement of

Length sections (18) of the medical device relative to one another;

d u r c h e k e n n n z e i c h n e t that the size adjustment mechanism (20) and the

Compression mechanism (20a) coupled to at least one of at least two segments (11, 12) of the medical device and at least partially formed thereon, at least one of the segments being individually adjustable in length in that the fastening section (30) extends over a minimum length of the segment that a size adjustment of the effective diameter can be realized over the size spectrum of the respective living being, namely at least over a pelvic circumference of 90cm to 130cm.

2. Medical device (100) according to claim 1, set up to compress the pelvic blades, wherein the size adjustment mechanism (20) and the compression mechanism (20a) are coupled to at least two segments (11, 12) of the medical device and are at least partially formed thereon, wherein the segments are individually adjustable in length by moving the

Fastening section (30) extends over a minimum length of the respective segment such that the effective diameter can be adjusted at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm.

3. Medical-technical device (100) set up for flat contact with the body of a living being and set up for the action of force on the pelvis of the living being, in particular set up to compress the pelvic blades, with:

- A fastening section (30) set up for reversibly fixing a selected size for the effective diameter, - A movement tolerance section (40) set up for a movement-tolerant arrangement of length sections (18) of the medical device relative to one another;

characterized in that the movement tolerance section (40) is designed as a relative angle section for the angle-tolerant arrangement of the length sections (18) relative to one another, the medical device having a plurality of segments (11, 12), of which at least two are in the relative angle section by an angle tolerance unit (41 ), in particular by a swivel joint, can be rotatably connected to one another in such a way that pivoting of the pivoted segments (11, 12) relative to one another is ensured in at least one degree of freedom, in particular including a pivoting movement about an axis lying in the sagittal plane.

4. Medical device (100) according to claim 3, set up to compress the

Beck scoops, the angular tolerance unit (41) comprising a swivel joint, at least two of the segments being able to be connected to one another such that they can rotate relative to one another that pivoting of the pivoted segments (11, 12) relative to one another in at least one degree of freedom including a pivoting movement about one in the sagittal plane horizontal axis is ensured.

5. Medical device (100) according to claim 1 or 3, wherein the size adjustment mechanism (20) and the compression mechanism (20a) are coupled to at least one of at least two segments (11, 12) of the medical device and are at least partially formed thereon, wherein at least one of the segments is individually adjustable in length in that the fastening section (30) extends over a minimum length of the (respective) segment such that the effective diameter can be adjusted over the size range of the respective living being at least over a pelvic circumference of 80cm to 140cm; and wherein the movement tolerance section (40) is designed as a relative angle section for the angle-tolerant arrangement of the length sections (18) relative to one another, the medical device having a plurality of segments (11, 12), of which at least two are in the relative angle section by an angle tolerance unit (41) comprising a swivel joint can be connected to one another so that they can rotate relative to one another in such a way that pivoting of the pivoted segments (11, 12) relative to one another is ensured in at least one degree of freedom, comprising a pivoting movement about an axis lying in the sagittal plane.

6. Medical device according to one of claims 1, 2 or 5, wherein the

Size adjustment mechanism (20) and the compression mechanism (20a) each have at least one

have positionable fastening means (15, 22) which is designed to correspond to the fastening section, in particular in each case in an arrangement at a free end (13, 23); and / or wherein a cable pull (21a; 21, 22) of the compression mechanism (20a) couples at least two of the segments (11, 12) to one another and positions them relative to one another in such a way that the medical device (100) in connection with the individually set length of the respective segment (11, 12) is set up for a force adjustment and for a size adjustment of the effective diameter over the size spectrum of the respective living being; and / or wherein the respective segment (11, 12) has a free end (13) which can be fixed / fixed on the respective segment in the fastening section, in particular steplessly over the entire minimum length of the segment; and / or wherein one / the free end (13) of the respective segment can be arranged below traction means (26) of the compression mechanism (20a) and can be coupled to the fastening section (30); and / or wherein the effective diameter can be adjusted by means of the size adjustment mechanism (20) at least by a factor of 1.5 or 1.75 or 2, in particular by at least a factor of 1.75; and / or wherein the fastening section (30) extends over the minimum length of the segment in such a way that both the compression mechanism (20a) and the size adjustment mechanism (20) on the

Fastening section (30) can be locked; and / or wherein the fastening section (30) extends completely along the respective segment, in particular both on its inside and on its outside.

7. Medical device according to one of claims 1, 2, 5 or 6, wherein a cable pull (21a; 21, 22) of the compression mechanism (20a) can be fixed on at least one of the segments (11, 12), in particular continuously; and / or wherein a bearing housing (27) of the compression mechanism extends over a proportion of at most 5 to 10% with respect to the effective diameter.

8. Medical device according to one of claims 1, 2 or 5 to 7, wherein the respective segment (11, 12) in the fastening section (30) has a positionable fastening means (15) in the form of a textile fastening means, in particular a Velcro fastener, which extends over at least 50% of the effective circumferential length of the segment (11, 12) extends, in particular over at least 70% or over at least 85%, in particular over at least 35 cm to 65 cm; and / or wherein one / the positionable fastening means (15), in particular textile fastening means of the effectively usable fastening section (30) extends over a circumference of at least a factor of 4 or 1/3 times the circle number Pi in relation to the respectively selected effective diameter, in particular on the respective segment up to 40% or 45% of the scope.

9. Medical device according to one of claims 1, 2 or 5 to 8, wherein a cable (21a; 21, 22) of the compression mechanism (20a) has a free end (23) which at a free

Length section with a length greater than the selected distance of a free end (13) of the respective segment (11, 12) can be coupled to at least one of the segments; and / or where the

Compression mechanism (20a) is integrated into the size adjustment mechanism (20) or vice versa, in particular in that the compression mechanism (20a) engages at least one, preferably at least two segments (11, 12) of the medical device and is positioned by the respective segment.

10. Medical device according to one of claims 3, 4 or 5, wherein the

The relative angular section (40) is arranged opposite the compression mechanism (20a), in particular in the region of the sagittal plane; and / or wherein the medical device (100) consists of two Segments (100) is constructed, which at their free ends (13) in the Relativwinkelab section (40) can be coupled to one another in a predefined relative position, in particular from two segments with at least approximately the same length; and / or wherein the relative angle section (40) has a first coupling part (42), in particular in the form of a turntable, and a second coupling part (43), in particular in

Embodiment as a fixation for a turntable, wherein a reversible fastening means (49) is preferably formed on the first coupling part (42), in particular a textile closure means; and / or wherein the angle tolerance unit is integrated in the relative angle section (40) as a swivel joint in adjacent segments, in particular over the entire height of the segments, in particular by welding, stamping and / or hemming; and / or wherein the angle tolerance unit has the same type of fastening means in the relative angle section as the size adjustment mechanism, in particular textile fastening means in the form of a Velcro fastener; and / or wherein the angle tolerance unit provides a turning diameter of at least 4 cm, in particular at least 5 cm or at least 6 cm, in particular by means of a sliding pairing with a minimum sliding diameter of 5 cm; and / or wherein the angle tolerance unit is set up and arranged for a relative rotational movement of the segments about a pivot point which is arranged at least approximately in the sagittal plane.

11. Medical device according to one of claims 3, 4 or 5 or 10, wherein the

Relative angle section (40) is set up for a size variation of the effective diameter of the medical device (100), in particular by means of a corresponding fastening means (39) for angle tolerance extending over a second minimum length section; and / or wherein at least three functions are integrated into the relative angle section, at least comprising the functions: angle tolerance by means of a rotary mechanism, size adjustment of the effective diameter, opening / closing of the medical device by means of reversible fastening means for the intended application of the medical device.

12. Medical device according to one of the preceding claims, wherein the

medical device (100) is designed as a multi-part belt; and / or where the

medical device is made up of only two belt parts which form the segments (11, 12); and / or wherein the medical device is formed exclusively from segments which are to be arranged in the circumferential direction around the body of the living being, in particular in a single one

Transverse plane in a predefinable height position in relation to the pelvis of the living being; and / or wherein the compression mechanism (20a) is integrated into the size adjustment mechanism in such a way that the

Compression force is applied by fine adjustment of the effective diameter; and / or wherein the fastening section (30) and / or fastening means (15, 25, 35, 39, 49) of the medical device (100) can be characterized by at least one of the following parameters: tensile shear strength,

Stripping resistance, peel resistance, in particular in relation to an embodiment of the

Fastening means as Velcro; and / or wherein the fastening section (30) is formed both on the outer surface (17) and on the inner surface (18) of the respective segment (11, 12); and or wherein three fastening functions are integrated into the fastening section (30): fastening a free end (13) of the respective segment (11, 12), fastening a free end (23) of a pulling unit (22) of the compression mechanism (20a), fastening two segments (11, 12) to one another for coupling the segments, in particular in the movement tolerance section (40); and / or wherein a / the fastening means (25) of the size adjustment mechanism and a fastening means (35) of the compression mechanism (20a) can be coupled in series one behind the other in the longitudinal direction in the fastening section (30), in particular over a length section corresponding to at least a factor of 4 or 1/3 times the circle number Pi in relation to the effective diameter, in particular on the respective segment (11, 12) in a length section of up to 35% or 45% of the circumference; and / or wherein the medical device (100) is an orthosis, in particular

Pelvic ring orthosis is designed.

13. A method for setting the effective diameter and an applied force of a medical device (100) in the form of a pelvic ring orthosis in flat contact with the body of a living being to apply force to the pelvis of the living being to compress the

Pelvis scoops, in particular by means of a medical device according to one of the preceding claims, wherein:

- the effective diameter of the medical device around the pelvis is adjusted by means of a size adjustment mechanism (20), and

-an application of a predefinable force to the pelvis of the living being by means of a

Compression mechanism (20a) takes place,

it is noted that the setting of the diameter and the application of the force take place in that in each case a continuously positionable fastening means on the one hand

Size adjustment mechanism and on the other hand the compression mechanism reversible in one

Fastening portion (30) of the medical device is set, wherein the

Fastening section extends over a minimum length, so that the size and force adjustment is realized over the size spectrum of the respective living being, namely at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm.

14. The method according to the preceding method claim, wherein when applying a / the predefinable force to the pelvis of the living being a movement-tolerant arrangement of

Length sections (18) of the medical device relative to one another in one

Movement tolerance section takes place;

wherein at least two segments of the medical device are mounted in the movement tolerance section in an angularly tolerant arrangement relative to one another by means of an angular tolerance unit (41), in particular in a swivel joint, so that the pivoted segments (11, 12) pivot relative to one another in at least one degree of freedom, in particular comprehensively a pivoting movement about an axis lying in the sagittal plane.

15. The method according to claim 13 or 14, wherein the setting of the diameter and the application of the force are carried out in that in each case a steplessly positionable fastening means on the one hand

Fastening section (30) of the medical device is set, in particular on

different circumferential positions, wherein the fastening section extends over a minimum length, so that the size and force adjustment is realized over the size spectrum of the respective living being, namely at least over a pelvic circumference of 80cm to 140cm; and wherein the setting of the diameter and the application of the force take place in that a steplessly positionable fastening means on the one hand of the size adjustment mechanism and on the other hand of the compression mechanism is reversibly fixed in a fastening section (30) of the medical device, in particular on

different circumferential positions, with at least two segments of the medical device in the movement tolerance section in an angularly tolerant arrangement relative to one another by means of a

Angle tolerance unit are mounted (41), in particular in a swivel joint, that pivoting of the pivoted segments (11, 12) relative to one another takes place in at least one degree of freedom, comprising a pivoting movement about an axis lying in the sagittal plane.

16. The method according to any one of the preceding method claims, wherein when setting the

Diameter and / or when the force is applied, the force applied is detected, in particular by means of a measuring device integrated in the bearing housing of the size adjustment mechanism, and with

If a predefined maximum force threshold value is exceeded, a signal is generated by means of a signal transmitter.

17. Use of a medical device (100) designed as a pelvic ring orthosis, in particular a medical device according to one of the preceding device claims, in flat contact with the body of a living being and for compressing the pelvic blades of the living being, the medical device having at least two segments in which a

Size adjustment mechanism and a compression mechanism and a movement tolerance section are integrated in such a way that the segments are each adjusted in length during the force and size adjustment and are coupled to a cable for applying the compression force, the length of the respective segment being defined on a fastening section, which extends over the length of the respective segment in such a way that the effective diameter can be adjusted over the size spectrum of the living being, namely at least over a pelvic circumference of 80 cm to 140 cm.

18. Use of a medical device (100), in particular a medical device according to one of the preceding device claims, in flat contact with the body of a living being and for compressing the pelvic blades of the living being, in particular in the form of a pelvic ring orthosis, the medical device has at least two segments, in which a size adjustment mechanism and a

Compression mechanism and a movement tolerance section are integrated in a configuration as a relative angle section in such a way that the medical device is used for an angle tolerant

Arrangement of the segments relative to one another, the segments being connected to one another rotatably relative to one another in the relative angular section by an angular tolerance unit comprising a rotary joint, in particular reversibly detachable from one another by means of textile closure means.

19. Use of a medical device (100), in particular a medical device according to one of the preceding device claims, in flat contact with the body of a living being and for compressing the pelvic blades of the living being, in particular in the form of a pelvic ring orthosis, the medical device having at least two segments, in which a size adjustment mechanism and a compression mechanism and a movement tolerance section in the form of a relative angle section are integrated in such a way that, on the one hand, the length of the segments is set in the force and size setting and the length of the respective segment is defined on a fastening section that extends over the length of the respective segment extends so that a size adjustment of the effective diameter can be realized over the size spectrum of the living being, in particular at least over a pelvic circumference of 80 cm to 140cm, and that on the other hand the

Medical device is used for an angularly tolerant arrangement of the segments relative to one another, the segments being rotatably connected to one another in the relative angular section by an angular tolerance unit, in particular by a swivel joint, in particular reversibly detachable from one another by means of textile closure means.

20. Medical device designed as a pelvic ring orthosis designed for flat contact with the body of a living being and designed to apply force to the pelvis of the living being and compress the pelvic blades, in particular a medical device according to one of the preceding device claims, produced by providing at least two devices over the Segments forming the circumference of the living being, in which both a compression mechanism for applying the desired force and a size adjustment mechanism for setting the effective diameter of the medical device is / will be integrated, and produced by forming and arranging at least one fastening section over a minimum length on the respective segment in this way that both the compression mechanism and the size adjustment mechanism can be locked steplessly and reversibly on the fastening section and thereby length the segments individually are adjustable, whereby a size adjustment of the effective diameter over the size spectrum of the respective living being can be realized, namely at least over a pelvic circumference of 90cm to 130cm, in particular at least over a pelvic circumference of 80cm to 140cm.

21. Medical device in the form of a pelvic ring orthosis set up for flat contact with the body of a living being and set up for the action of force on the pelvis of the living being and for compressing the pelvic blades, in particular a medical device according to one of the preceding device claims, produced by providing at least two segments forming the device over the circumference of the living being, in which both a compression mechanism for applying the desired force and a size adjustment mechanism for setting the effective diameter of the medical device is integrated, and produced by forming and arranging a movement tolerance section set up for movement-tolerant arrangement of the segments relative to one another on the segments, in particular on free ends of the segments, wherein the

Movement tolerance section set up as a relative angular section for the angularly tolerant arrangement of the length sections relative to one another is configured by integrating an angular tolerance unit, in particular a swivel joint, into the relative angular section in such a way that the segments are connected to one another so that they can rotate relative to one another and that the pivoted segments are pivoted relative to one another in at least one Degree of freedom is ensured, comprising a pivoting movement around one in the

Axis lying in the sagittal plane.

22. Medical device set up for flat contact with the body of a living being and set up for the application of force to the pelvis of the living being and set up to compress the pelvic blades, in particular in the form of a pelvic ring orthosis, in particular a medical device according to one of the preceding device claims, produced by forming and arranging at least a fastening section over a minimum length on at least one respective segment or length section of the medical device in such a way that both a compression mechanism and a size adjustment mechanism can be continuously reversibly fixed on the fastening section and the segment or the length section is thereby individually adjustable in length, with a size adjustment of the effective diameter of the medical device Device can be realized over the size range of the respective living being, in particular at least over a pelvis catch from 90cm to 130cm, especially at least over a pelvic circumference of 80cm to 140cm; and produced by forming and arranging a movement tolerance section set up for the movement-tolerant arrangement of at least two length sections or segments of the medical device relative to one another on the segments or length sections, namely at free ends of the segments, the

Movement tolerance section set up as a relative angle section for the angle-tolerant arrangement of the segments or length sections relative to one another is configured by integrating an angle tolerance unit, in particular a swivel joint, into the relative angle section in such a way that the segments or length sections are connected to one another so that they can rotate relative to one another and that a pivoting of the pivoted segments or Length sections is ensured relative to one another in at least one degree of freedom, comprising a pivoting movement about an axis lying in the sagittal plane.