WO2021138828A1 - Support phase control knee joint brace - Google Patents
Support phase control knee joint brace Download PDFInfo
- Publication number
- WO2021138828A1 WO2021138828A1 PCT/CN2020/070850 CN2020070850W WO2021138828A1 WO 2021138828 A1 WO2021138828 A1 WO 2021138828A1 CN 2020070850 W CN2020070850 W CN 2020070850W WO 2021138828 A1 WO2021138828 A1 WO 2021138828A1
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- WIPO (PCT)
- Prior art keywords
- link
- thigh
- calf
- pawl
- ratchet
- Prior art date
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- 210000000629 knee joint Anatomy 0.000 title claims abstract description 68
- 210000000689 upper leg Anatomy 0.000 claims abstract description 130
- 230000005021 gait Effects 0.000 claims abstract description 29
- 244000309466 calf Species 0.000 claims description 88
- 210000003127 knee Anatomy 0.000 claims description 53
- 238000005452 bending Methods 0.000 claims description 8
- 239000004744 fabric Substances 0.000 claims description 7
- 239000000945 filler Substances 0.000 claims description 6
- 230000002452 interceptive effect Effects 0.000 claims description 4
- 230000006399 behavior Effects 0.000 abstract 2
- 230000000712 assembly Effects 0.000 abstract 1
- 238000000429 assembly Methods 0.000 abstract 1
- 210000002414 leg Anatomy 0.000 description 14
- 238000010586 diagram Methods 0.000 description 13
- 238000001514 detection method Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 210000001503 joint Anatomy 0.000 description 4
- 206010017577 Gait disturbance Diseases 0.000 description 3
- 230000001133 acceleration Effects 0.000 description 2
- 210000003141 lower extremity Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000036316 preload Effects 0.000 description 2
- 238000010008 shearing Methods 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 0 C(C1)C2*C1CC2 Chemical compound C(C1)C2*C1CC2 0.000 description 1
- 208000010428 Muscle Weakness Diseases 0.000 description 1
- 206010028289 Muscle atrophy Diseases 0.000 description 1
- 206010028372 Muscular weakness Diseases 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000003314 quadriceps muscle Anatomy 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
Definitions
- the invention belongs to the technical field of wearable devices, and relates to a knee joint brace, in particular to a support phase controlled knee joint brace.
- the products in the prior art are mostly walking aids or bone fixators for postoperative rehabilitation.
- the structure mainly includes an outer frame sliding wheel walker or a passive brace.
- the former is an external frame structure with multiple sliding wheels, which is not bound to the human body.
- the latter is bound to the human body, but the anti-fall function is realized by a support rod extending downwards, which provides support when the user has a tendency to fall.
- This structure is relatively simple and has a single function.
- the user's walking or squatting behavior causes certain obstacles and makes the user feel uncomfortable.
- these braces cannot detect the user's gait, and there is a lack of knee braces similar to the gait detection function in the market. Therefore, it is necessary to design a knee brace that can solve the above-mentioned problems.
- the present invention is made to solve the above-mentioned problems, and aims to provide a support phase controlled knee brace.
- the present invention provides a support phase controlled knee brace, which is used to provide auxiliary limit support for the knee joint. It has the characteristics of: an insole placed under the user’s foot; and a medial knee joint module, including interconnected The inner leg link and the inner thigh link, as well as the inner lower leg link stopper provided on the top surface of the inner lower leg link for limiting; the inner joint cover, one end is connected to the pawl inner thigh link, and the other end Connected to the connection between the pawl inner leg link and the pawl inner thigh link; the outer knee joint module includes the outer thigh link and the outer thigh link connected to each other and the top surface of the outer leg link for limiting Lower leg outer link limit block; outer joint cover plate, connected to the outer thigh link; lower leg front baffle, connected to the end of the inner calf link close to the foot on both sides, and the outer leg link close to the foot One end of the thigh is used to support the lower legs; the front thigh baffle
- the controller is an electromagnetic actuator connected by a wire; wherein the lateral knee joint module further includes a spring pre-tensioned unidirectional ratchet assembly arranged on the outer and inner side of the outer joint cover, and the spring pre-tensioned unidirectional ratchet assembly includes: a first sliding The bearing is arranged between the outer thigh link and the joint outer cover; the second sliding bearing is arranged between the lower leg outer link and the joint outer cover; the pawl is sleeved on the periphery of the first sliding bearing and the pawl
- the surface has a first outer edge protrusion at the front and a second outer edge protrusion at the rear; a ratchet, sleeved on the periphery of the second sliding bearing; a pretension spring, one end of which is fixed to the second connecting rod on the outer thigh On one protrusion, the other end is fixed on the first outer edge protrusion of the pawl, which is used to apply a first pre-tightening
- Both the pawl and the ratchet wheel are engaged under the action of the pre-tensioning force of the pre-tensioning spring to make the occlusal surface
- the generated interactive force prevents the bending torque of the knee joint, and performs unidirectional locking during the supporting phase of walking.
- the pawl overcomes the pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel and the pawl, thereby completing the bending of the knee joint.
- the support phase controlled knee brace provided by the present invention, it may have such features, and further include: wherein an anti-falling hook strap is fixed to the side of the outer thigh link near the top of the trunk section; and an anti-falling hook is connected to The top of the anti-drop hook strap is used to hang on the wearer's belt.
- the front calf baffle is provided with front calf straps for binding the calves and respectively arranged on the front side of the calf and the back side of the calf. Straps and straps behind the calves.
- the front thigh baffle is provided with a front thigh strap for binding the thigh and respectively arranged on the front side of the thigh and the back side of the thigh. Straps and straps behind the thighs.
- the support phase controlled knee brace may also have such features: wherein the inner side of the connection between the inner leg link and the inner thigh link and the connection point between the outer calf link and the outer thigh link
- the inner side is fixed with a flexible pad.
- the flexible pad consists of a filler, an outer fabric wrapped outside the filler, and a hook connected to the outer fabric on one side, and the other side is glued to the calf front baffle. Velcro on the inner surface and the inner surface of the front thigh baffle.
- the support phase controlled knee brace provided by the present invention, it may also have such a feature: among them, the smallest included angle between the inner thigh link and the inner calf link and between the outer thigh link and the outer calf link Both are 50°, the maximum included angle is both 180°, the maximum angle of engagement between the pawl and the ratchet wheel is 130°, and every 10° is a gear.
- the supporting phase controlled knee brace provided by the present invention may also have the feature: wherein the outer link of the lower leg and the ratchet are fixed by four screws.
- the electromagnetic actuator is an electromagnet
- the output end of the electromagnetic actuator is connected by an inelastic cable or a rigid brake link Protruding from the second outer edge of the pawl, the direction of the traction force on the pawl when the electromagnetic actuator is working is the direction that assists the pawl to disengage from the engaged state of the ratchet wheel.
- the medial knee joint module has the inner calf link stopper and the outer knee joint module has the outer calf link stopper, the inner knee joint and the outer knee can be restricted.
- the angle of rotation of the joint because it has a front calf baffle connected to the inner link of the lower leg and the outer lower leg, it can be used to support the lower leg; because it has a thigh front stop connected to the inner thigh link and the outer thigh link Plate, so it can be used to support the thigh; because it has a sensor module, it can detect the user's gait behavior; because it has a control module, it can control the state of the two spring-pretensioned one-way ratchet components according to the user's gait behavior ; Because the spring-preloaded unidirectional ratchet assembly has a pawl, a ratchet, a pre-tensioned spring, a torsion spring, and a pawl roller, it realize
- the support phase controlled knee brace of the present invention can realize the detection of gait through the cooperation between the spring-pretensioned one-way ratchet assembly, the sensor module and the control module, and control unlocking and walking through the battery actuator.
- the support phase is unidirectionally locked, and can also be unlocked in the swing phase of walking, so as not to affect the user's walking.
- the support phase-controlled knee brace of the present invention solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of the present embodiment fits the legs, which can prevent the user from walking.
- the gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
- Fig. 1 is a schematic diagram of the structure of a knee brace for supporting phase control in an embodiment of the present invention
- FIG. 2 is a schematic diagram of wearing a support phase control knee brace in an embodiment of the present invention
- FIG. 3 is a schematic structural diagram of the medial knee joint module of the support phase control knee brace in an embodiment of the present invention
- FIG. 4 is a schematic structural diagram of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention.
- FIG. 5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention
- FIG. 6 is a schematic diagram of the unlocked state of the spring-preloaded unidirectional ratchet assembly of the support phase control knee brace in the embodiment of the present invention
- FIG. 7 is a schematic diagram of a single joint form of the support phase control knee brace in an embodiment of the present invention.
- FIG. 8 is a front view of the inner knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention.
- FIG. 9 is a front view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the support phase control knee brace of the present invention.
- Fig. 10 is a perspective view of the lateral knee joint module of the double-joint spring pre-tensioning ratchet module of the supporting phase control knee joint brace of the present invention.
- gait refers to the posture shown when walking and all walking movements.
- Fig. 1 is a schematic diagram of the structure of a support-phase control knee brace in an embodiment of the present invention
- Fig. 2 is a schematic diagram of wearing a support-phase control knee brace in an embodiment of the present invention.
- a support phase control knee brace 100 of this embodiment is used to provide auxiliary limit support for the knee joint, including: an insole 1, a medial knee joint module 2, and a medial joint cover 3.
- the insole 1 is placed under the user's foot.
- the medial knee joint module 2 includes the inner calf link 201 and the inner thigh link 202 that are connected to each other and rotate around the medial joint axis.
- the medial knee joint module 2 has a two-link structure that can rotate around the medial joint axis with a single degree of freedom. , And only play the role of reducing the shearing force of the medial and lateral knee joints, and limit the legs to only rotate with a single degree of freedom in the sagittal plane, that is, the plane in the forward direction of human walking.
- the medial knee joint module 2 further includes an inner calf link limiting block 203 provided on the top surface of the inner calf link 201 for limiting.
- One end of the medial joint cover 3 is connected to the inner thigh link 202 by a screw, and the other end is connected to the connection between the inner thigh link and the inner calf link by a screw.
- FIG. 4 is a schematic diagram of the structure of the lateral knee joint module of the support phase control knee joint brace in the embodiment of the present invention.
- the lateral knee joint module 4 includes a lower leg outer link 401 and an outer thigh link 402 that are connected to each other, and rotate around the outer joint rotation axis.
- the lateral knee joint module 4 further includes a lower leg outer link limiting block 403 arranged on the top surface of the lower leg outer link 401 for limiting position, and a spring pretensioner arranged on the outer and inner sides of the outer joint cover.
- One-way ratchet assembly is also included.
- both the medial knee joint module 2 and the lateral knee joint module 4 are modules in the form of a single joint, and the rotation axis of the medial joint and the rotation axis of the lateral joint are collinear, forming the knee joint of the support phase control knee brace 100 axis.
- the inner side of the connection between the inner calf link 201 and the inner thigh link 202 and the inner side of the connection between the outer calf link 402 and the outer thigh link 402 are fixed with a flexible pad 13, and the flexible pad 13 It consists of a filler, an outer fabric wrapped outside the filler, and a Velcro with hook bristles attached to the outer fabric on one side and attached to the inner surface of the front calf baffle and the inner surface of the thigh front baffle on the other side And the outer fabric is sealed by knitting or gluing, and it is divided into two sides, one side is the soft fiber surface connected with the side with hook bristles of the Velcro, and the other side is the non-slip surface coated with non-slip rubber.
- the shape of the flexible pad 13 is the same as or similar to the shape of the thigh front baffle 7 and the calf front baffle 6, so as to fit the leg shape and have a fixed anti-skid function.
- the outer joint cover 5 is connected to the outer thigh connecting rod 402, specifically through a screw that passes through the outer thigh connecting rod 402, the first sliding bearing 801, and the pawl 803 in turn, and then is inserted into the positioning hole on the outer joint cover 5. 405 and a screw 406 that passes through the outer thigh connecting rod 402, the outer calf connecting rod 401, the second sliding bearing 802, and the ratchet 804 in sequence, and then inserted into the positioning hole on the outer joint cover plate 5.
- the inner joint cover 3 is fixed to the inner thigh link 202
- the outer joint cover 5 is fixed to the outer thigh link 402, thereby forming a U-shaped structure, so that the knee joint has only one degree of freedom of rotation.
- the inner thigh link 202 and the inner calf link 201, the outer thigh link 402 and the outer calf link 201 all have a U-shaped structure for physically limiting the opening of the inner and outer upper and lower leg links 15. Limit the rotation angle of the knee joint axis to 130°.
- the minimum included angles between the inner thigh link 202 and the inner calf link 201, and the outer thigh link 402 and the outer calf link 401 are all 50°
- the maximum included angle is 180°.
- Both sides of the front calf baffle 6 are respectively connected to an end of the inner calf link 201 near the foot and an end of the outer calf link 401 near the foot, for supporting the calf.
- the front calf baffle 6 is provided with a front calf strap 601 and a rear calf strap 602 for binding the calf and respectively disposed on the front side of the calf and the back side of the calf.
- Both sides of the thigh front baffle 7 are respectively connected to an end of the inner thigh link 202 near the torso and an end of the outer thigh link 402 near the torso for supporting the thigh.
- the front thigh baffle 7 is provided with a front thigh strap 701 and a rear thigh strap 702 for binding the thighs and respectively disposed on the front side of the thigh and the back side of the thigh.
- the spring-preloaded one-way ratchet assembly 8 is arranged on the outside of the outer joint cover 5 and includes: a first sliding bearing 801, a second sliding bearing 802, a pawl 803, a ratchet 804, and a torsion spring 805 , Pre-tensioning spring 806 and pawl roller 807.
- the first sliding bearing 801 is arranged between the outer thigh link 402 and the outer joint cover 5.
- the second sliding bearing 802 is arranged between the outer link 401 of the lower leg and the outer joint cover 5.
- the pawl 803 is sleeved on the periphery of the first sliding bearing 801, and the surface of the pawl 803 has a first outer edge protrusion 808 at the front and a second outer edge protrusion 809 at the rear.
- the ratchet 804 is sleeved on the periphery of the second sliding bearing 802.
- the rotation axis of the ratchet 804 is coaxial with the rotation axis of the outer joint and is fixed to the outer link 401 of the lower leg.
- the pawl 803 rotates around the rotation axis of the pawl 803 and can effectively contact the teeth of the ratchet 804.
- the rotation axis of the pawl 803 is parallel to the rotation axis of the outer joint and perpendicularly fixed to the outer thigh link 402.
- the maximum angle of engagement between the pawl 803 and the ratchet wheel 804 is 130°, and every 10° is a gear.
- the outer lower leg link 401 and the ratchet wheel 804 are fixed by four screws, and the outer lower leg
- the four ratchet fixing holes 407 on the connecting rod 401 are waist-shaped long holes to ensure that the ratchet 804 can rotate with the rotation axis of the ratchet 804 in a restricted manner, and the rotation is 5°.
- the bite force direction at this time is perpendicular to the occlusal surface between the ratchet wheel 804 and the pawl 803, which is formed by the rotation axis of the ratchet wheel 804 and the rotation axis of the outer joint In the plane, the ratchet wheel 804 and the pawl 803 are divided into front and rear parts.
- One end of the pre-tensioning spring 806 is fixed to the first protrusion 404 on the outer thigh link 401, and the other end is fixed to the first outer edge protrusion 808 of the front part of the pawl 803 to apply a pre-tensioning force to the pawl 803 ,
- the pawl 803 can engage with the ratchet 804 within a range of 130°, the interactive force of the occlusal surface generates a torque that prevents the knee joint from bending, and the direction of the first preload is The direction in which the auxiliary pawl 803 engages with the ratchet wheel 804.
- the torsion spring 805 is embedded in the inner ring of the ratchet 804 to provide the ratchet 804 with a pre-tightening force that is opposite to the direction of the bite force, which can provide a cushioning effect for the pressure-bearing bite and lock, and increase the impact resistance of the ratchet 804, thereby Protect the user's knee joints.
- the pawl roller 807 is mounted on the pawl 803 through the roller pin 8011, and a roller sliding sleeve 8010 is arranged between the pawl roller 807 and the roller pin.
- the surface of the pawl roller 807 will interact with the ratchet wheel when the pawl 803 is engaged with the ratchet wheel 804.
- the tooth surfaces of the 804 are in contact, thereby reducing the friction between the pawl 803 and the ratchet 804 during biting.
- the pawl 803 and the ratchet 804 are occluded under the action of the first pretension force of the pretension spring 806, so that the interactive force generated by the occlusal surface prevents the bending torque of the knee joint.
- Locking, and under the action of the electromagnetic actuator 1003, the pawl 803 overcomes the first pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803, thereby completing the unlocking action between the ratchet wheel 804 and the pawl 803. Bend of the knee joint.
- the sensor module 9 is used to detect the gait behavior of the user, including the first six-axis accelerometer at the top of the outer thigh link at the end of the thigh for detecting the acceleration of thigh movement, and the first six-axis accelerometer installed at the lower end of the lower leg of the outer link at the lower leg.
- a plurality of pressure sensors 902 for pressure detection and obtaining plantar contact information are connected.
- the first six-axis accelerometer is integrated on the control module 10
- the second six-axis accelerometer 901 is a separate circuit board mounted on the outside of the lower leg, and is connected to the main controller 1001 through a wire.
- the battery pack connected to the main controller 1001 supplies power.
- the angular velocity sensor is composed of a magnetic head 903 and a magnetic ring 904.
- the magnetic head 903 is arranged on the outer peripheral surface of the central circular hole at the top of the lower leg outer link 401 and is adjacent to the lower leg outer link limit block 403.
- the magnetic ring 904 is coaxial with the first sliding bearing 801 and is close to the magnetic head 903.
- the magnetic head 903 reads the change of the magnetic field of the magnetic ring 904 and transmits it to the control module 10 in response to the angle data between the upper and lower connecting rods.
- the control module 10 is used to control the state of the spring-preloaded one-way ratchet assembly according to the user's gait behavior, and includes a main control that is provided on the front thigh baffle 7 and has a manual control button and is equipped with a first six-axis accelerometer.
- a battery pack 1002 for power supply connected to the main controller 1001 via a wire 14, and an electromagnetic actuator 1003 connected to the main controller 1001 via a wire 14.
- the electromagnetic actuator 1003 is an electromagnet, and the output end of the electromagnetic actuator 1003 is connected to the second outer edge protrusion 809 of the pawl 803 through an inelastic cable 1004 or a rigid brake link.
- the direction of the traction force on the pawl 803 is the direction that assists the pawl 803 to disengage from the ratchet wheel 804.
- the anti-drop hook strap 11 is fixed on the outer thigh connecting rod 402 near the top of the trunk section.
- the anti-fall hook 12 is connected to the top of the anti-fall hook belt 11 for hanging on the wearer's waist belt to prevent the support phase control knee brace 100 from sliding down during the user's walking process and causing wearing discomfort.
- FIG. 5 is a schematic diagram of the locked state of the spring-pretensioned unidirectional ratchet assembly of the support-phase-controlled knee brace in an embodiment of the present invention
- FIG. 6 is the spring-pretension unit of the support-phase-controlled knee brace in the embodiment of the present invention
- FIG. 7 is a schematic diagram of the single-joint form of the support phase control knee brace in the embodiment of the present invention.
- the support phase control knee brace 100 when the support phase control knee brace 100 is not energized or in the support phase state, the ratchet 804 and the pawl 803 are in the occluding state. At this time, the knee joint is locked, as shown in FIG. 5, when When the support phase controls the knee brace 100 to be powered on and the sensor module 9 detects that the leg enters the swing phase, the control module 10 sends a signal to the electromagnetic actuator 1003, the electromagnetic actuator 1003 is activated, the tongue retracts, and the An inelastic cable or a rigid brake link pulls up one end of the pawl 803 and enters the unlocked state from the locked state, as shown in FIG. 6.
- the electromagnetic actuator 1003 is closed, and the pawl 803 is locked again under the action of the first pre-tensioning force of the side pre-tensioning spring 806 by the pawl 803.
- the medial knee joint module has a calf inner link stopper and the outer knee joint module has a calf outer link stopper, it can limit the medial knee joint and the outer side.
- the angle of rotation of the knee joint because it has the front calf baffle connected to the inner calf link and the outer calf link, it can be used to support the calf; because it has the front thigh connected to the inner thigh link and the outer thigh link
- the baffle can be used to support the thigh; because it has a sensor module, it can detect the user’s gait behavior; because it has a control module, it can control the two spring-preloaded unidirectional ratchet components according to the user’s gait behavior Status: Because the spring pre-tensioned unidirectional ratchet components all have pawls, ratchets, pre-tensioned springs, torsion springs and pawl rollers, one-way locking and unlocking of
- the support phase control knee brace involved in this embodiment because it has an anti-fall hook strap and an anti-fall hook, it can prevent the wearer's discomfort caused by the user's sliding failure during walking.
- the front calf strap and the back calf strap are provided on the front calf baffle and are located on the front side of the calf and the back side of the calf, so it can be used to tie the calf , So that it can better support the calf.
- the front thigh strap and the back thigh strap are provided on the front thigh baffle and are respectively located on the front side of the thigh and the back side of the thigh, so it can be used to tie the thighs , So that it better supports the thighs.
- flexible guards are fixed on the inner side of the connection between the inner calf link and the inner thigh link and the inner side of the connection between the outer calf link and the outer thigh link. Cushion, so it can better protect the knee joint.
- the electromagnetic actuator can assist the direction in which the pawl disengages from the engaged state of the ratchet wheel during operation.
- the ratchet fixing holes on the outer link of the lower leg and the inner link of the lower leg are all waist-shaped long holes, the ratchet can be guaranteed to rotate around the ratchet rotation axis in a restricted manner , The rotation is 5°.
- the support phase control knee brace of this embodiment can realize the detection of gait through the cooperation of the spring-pretensioned unidirectional ratchet assembly, the sensor module and the control module, and control the unlocking by the battery actuator and the
- the walking support phase is unidirectionally locked, and can also be unlocked during the swing phase of walking, so as not to affect the user's walking.
- the support phase-controlled knee brace of this embodiment solves the problems of abnormal gait and tripping when the patient is walking, and each part of the brace of this embodiment fits the legs, which can be very effective for the user.
- the walking gait is detected, allowing the joints to be stretched at any time, so that the walking gait tends to the gait of a normal person, and the user will not feel discomfort caused by obstacles such as walking or squatting.
- the pawl roller, torsion spring, waist-shaped hole of the outer link of the lower leg, etc. in the embodiment are all functionally improved parts and designs, but in the present invention, the basic pawl and the design of the ratchet fixed to the outer link of the lower leg should also be incorporated within the scope of patent protection.
- the medial knee joint module and the lateral knee joint module in the embodiment are both single-joint modules.
- the medial knee joint module and the lateral knee joint module can also be the medial knee joint module and the lateral knee joint module in the form of double joints, as shown in Figures 8-10, that is, the outer thigh link is replaced by the outer thigh gear Links, the outer calf link is replaced with an outer calf gear link, the inner thigh link is replaced with an inner thigh gear link, the inner calf link is replaced with an inner calf gear link, and an inner joint cover and an outer joint are added Cover, the pawl is connected to the outer thigh gear link, and the ratchet is connected to the outer calf gear link.
- the rotation axis of the outer thigh gear link, the rotation axis of the inner thigh gear link and the outer joint cover rotate on the thigh side
- the axis is coaxial
- the rotation axis of the outer calf gear link, the rotation axis of the inner calf gear link and the calf side rotation axis of the outer joint cover are coaxial
- the rotation axis of the inner thigh gear link is coaxial with the thigh side of the inner joint cover.
- the rotation axis is coaxial, the rotation axis of the inner calf gear link is coaxial with the calf side rotation axis of the inner joint cover, the gear part of the outer thigh gear link and the gear part of the outer calf gear link mesh with each other, and the inner thigh gear is connected
- the gear part of the lever meshes with the gear part of the inner calf gear link.
- the outer thigh gear link and the outer calf gear link rotate in conjunction with their respective rotating shafts through gear meshing.
- the rotating shaft of the pawl and the outer joint cover The thigh side rotation axis is coaxial, and the rotation axis of the ratchet wheel is coaxial with the calf side rotation axis of the outer joint cover.
- the medial knee joint module meshes with the gears of the inner thigh gear link and the inner calf link, and can only move around the thigh joint shaft and the lower leg joint shaft, and the inner knee joint module of the double-joint form also only reduces the inner leg.
- the role of the shearing force of the lateral knee joint restricts the leg to only rotate with a single degree of freedom in the sagittal plane, which is the plane in which the person is walking forward.
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Abstract
Description
Claims (8)
- 一种支撑相控制膝关节支具,用于提供膝关节的辅助限位支撑,其特征在于,包括:A support phase control knee joint brace for providing auxiliary limit support of the knee joint, which is characterized in that it comprises:鞋垫,置于使用者的足下;Insoles, placed under the user's feet;内侧膝关节模块,包括相互连接的小腿内侧连杆和大腿内侧连杆以及设置于所述小腿内侧连杆的顶部表面用于限位的小腿内侧连杆限位块;The medial knee joint module includes an inner calf link and an inner thigh link that are connected to each other, and an inner calf link limiting block provided on the top surface of the inner calf link for limiting;内侧关节盖板,一端连接于所述大腿内侧连杆上,另一端连接于所述小腿内侧连杆和所述大腿内侧连杆的连接处;An inner joint cover plate, one end is connected to the inner thigh link, and the other end is connected to the connection between the inner calf link and the inner thigh link;外侧膝关节模块,包括相互连接的大腿外侧连杆和大腿外侧连杆以及设置于所述小腿外侧连杆的顶部表面用于限位的小腿外侧连杆限位块;The lateral knee joint module includes an outer thigh link and an outer thigh link that are connected to each other, and a lower leg outer link limiting block provided on the top surface of the lower leg outer link for limiting;外侧关节盖板,连接于所述大腿外侧连杆上;The outer joint cover is connected to the connecting rod of the outer thigh;小腿前挡板,两侧分别连接于所述小腿内侧连杆靠近足部的一端以及所述小腿外侧连杆靠近足部的一端,用于支撑小腿;The front calf baffle, both sides of which are respectively connected to one end of the inner calf link close to the foot and one end of the calf outer link close to the foot, for supporting the calf;大腿前挡板,两侧分别连接于所述大腿内侧连杆靠近躯干的一端以及所述大腿外侧连杆靠近躯干的一端,用于支撑大腿;The thigh front baffle, both sides of which are respectively connected to an end of the inner thigh link close to the torso and an end of the outer thigh link close to the torso, for supporting the thigh;传感器模块,用于检测使用者的步态行为,包括安装于所述大腿外侧连杆顶端的第一六轴加速度计、安装于所述小腿外侧连杆的下端的第二六轴加速度计、由所述小腿外侧连杆顶部表面的磁头以及与所述第二滑动轴承同轴并靠近所述磁头的磁环组成的角速度传感器以及多个设置于所述鞋垫表面并通过电线与所述第二六轴加速度计连接的压力传感器;以及The sensor module is used to detect the user’s gait behavior, including a first six-axis accelerometer installed at the top of the outer thigh link, a second six-axis accelerometer installed at the lower end of the lower leg outer link, and The magnetic head on the top surface of the outer link of the lower leg and the angular velocity sensor composed of a magnetic ring coaxial with the second sliding bearing and close to the magnetic head, and a plurality of angular velocity sensors arranged on the surface of the insole and connected to the second six through wires The pressure sensor connected to the axis accelerometer; and控制模块,用于根据使用者的步态行为控制所述弹簧预紧单向棘轮组件的状态,包括设置于所述大腿前挡板上的具有手动控制按钮的并安装有所述第一六轴加速度计的主控制器、与所述主控制器通过电线连接的电池组以及与所述主控制器通过电线连接的电磁致动器;The control module is used to control the state of the spring-preloaded one-way ratchet assembly according to the user's gait behavior, and includes a manual control button provided on the thigh front baffle and installed with the first six-axis A main controller of the accelerometer, a battery pack connected to the main controller via a wire, and an electromagnetic actuator connected to the main controller via a wire;其中,所述外侧膝关节模块还包括设置于所述外侧关节盖板外内侧的弹簧预紧单向棘轮组件,该弹簧预紧单向棘轮组件包括:Wherein, the lateral knee joint module further includes a spring-preloaded unidirectional ratchet assembly disposed on the outer and inner sides of the outer joint cover plate, and the spring-preloaded unidirectional ratchet assembly includes:第一滑动轴承,设置于大腿外侧连杆与所述关节外侧盖板之间;The first sliding bearing is arranged between the connecting rod of the outer thigh and the outer cover plate of the joint;第二滑动轴承,设置于小腿外侧连杆与所述关节外侧盖板之间;The second sliding bearing is arranged between the outer connecting rod of the lower leg and the outer cover plate of the joint;棘爪,套设于所述第一滑动轴承外围,且所述棘爪的表面具有位于前部的第一外缘凸起以及位于后部的第二外缘凸起;The pawl is sleeved on the periphery of the first sliding bearing, and the surface of the pawl has a first outer edge protrusion at the front part and a second outer edge protrusion at the rear part;棘轮,套设于所述第二滑动轴承外围;A ratchet, sleeved on the periphery of the second sliding bearing;预紧弹簧,一端固定于所述大腿外侧连杆上的第一凸起上,另一端固定于所述棘爪的第一外缘凸起上,用于对所述棘爪施加第一预紧力,且该第一预紧力的方向为辅助所述棘爪与所述棘轮咬合的方向;A pre-tensioning spring, one end is fixed to the first protrusion on the outer thigh link, and the other end is fixed to the first outer edge protrusion of the pawl, for applying first pretension to the pawl Force, and the direction of the first pre-tightening force is the direction assisting the engagement of the pawl with the ratchet wheel;扭簧,嵌于所述棘轮内圈,用于给所述棘轮提供一个与咬合受力方向相反的第二预紧力;以及A torsion spring, embedded in the inner ring of the ratchet wheel, for providing the ratchet wheel with a second pretension force opposite to the direction of the bite force; and棘爪滚轮,通过滚轮插销安装于所述棘爪上,所述棘爪滚轮的表面在所述棘爪与所述棘轮咬合时,与所述棘轮的齿面接触,从而降低咬合时所述棘爪与所述棘轮之间的摩擦力,The pawl roller is mounted on the pawl through a roller pin, and the surface of the pawl roller contacts the tooth surface of the ratchet wheel when the pawl engages with the ratchet wheel, thereby reducing the ratchet during engagement. The friction between the pawl and the ratchet,所述棘爪与所述棘轮均在所述预紧弹簧的预紧力的作用下在咬合,从而使咬合面产生的交互力阻止膝关节弯曲的扭矩,在行走的支撑相进行单向锁定,且在所述电磁致动器的作用下,使得所述棘爪在 步态摆动相时克服所受的预紧力,从而完成所述棘轮与所述棘爪之间的解锁动作,进而完成膝关节的弯曲。The pawl and the ratchet are both engaged under the action of the pretensioning force of the pretensioning spring, so that the interactive force generated by the occlusal surface prevents the bending torque of the knee joint, and performs unidirectional locking during the walking support phase, And under the action of the electromagnetic actuator, the pawl overcomes the pre-tightening force received during the swing phase of the gait, thereby completing the unlocking action between the ratchet wheel and the pawl, thereby completing the knee The bending of the joints.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于,还包括:The supporting phase control knee brace according to claim 1, further comprising:防坠挂钩带,固定于所述大腿外侧连杆靠近躯干段顶部一侧;以及An anti-falling hook strap fixed on the side of the outer thigh link near the top of the trunk section; and防坠挂钩,连接于所述防坠挂钩带顶部,用于挂在穿戴者的腰带上。The anti-falling hook is connected to the top of the anti-falling hook belt and is used to hang on the waist belt of the wearer.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述小腿前挡板上设置有用于绑缚小腿的且分别设于小腿前侧和小腿后侧的小腿前绑带与小腿后绑带。Wherein, the front calf baffle is provided with a front calf strap and a back calf strap for binding the calf and respectively arranged on the front side of the calf and the back side of the calf.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述大腿前挡板上设置有用于绑缚大腿的且分别设于大腿前侧和大腿后侧的大腿前绑带与大腿后绑带。Wherein, the front thigh baffle is provided with a front thigh strap and a rear thigh strap for binding the thigh and respectively arranged on the front side of the thigh and the back side of the thigh.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述小腿内侧连杆和所述大腿内侧连杆的连接处的内侧以及所述小腿外侧连杆和所述大腿外侧连杆的连接处的内侧均固定有 柔性护垫,Wherein, the inner side of the connection between the inner calf link and the inner thigh link and the inner side of the connection between the outer calf link and the outer thigh link are fixed with flexible pads,所述柔性护垫由填充物、包裹于所述填充物之外的外层织物以及一侧与所述外层织物连接的带有勾刺毛且另一侧黏于所述小腿前挡板内侧表面和所述大腿前挡板内侧表面的魔术贴。The flexible pad consists of a filler, an outer layer fabric wrapped outside the filler, and one side connected to the outer layer fabric with hook bristles and the other side is glued to the inner side of the calf front baffle Velcro on the surface and the inner surface of the front thigh baffle.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述大腿内侧连杆以及所述小腿内侧连杆之间以及所述大腿外侧连杆以及所述小腿外侧连杆之间的最小夹角均为50°,最大夹角均为180°,Wherein, the minimum included angle between the inner thigh link and the inner calf link, and between the outer thigh link and the outer calf link are both 50°, and the maximum included angle is both 180°,所述棘爪与所述棘轮之间咬合的最大角度为130°,且每10°为一档。The maximum angle of engagement between the pawl and the ratchet wheel is 130°, and every 10° is a gear.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述小腿外侧连杆与所述棘轮之间通过四根螺钉固定,Wherein, the outer connecting rod of the lower leg and the ratchet are fixed by four screws,所述小腿外侧连杆上的棘轮固定孔为腰型长孔。The ratchet fixing hole on the outer connecting rod of the lower leg is a waist-shaped long hole.
- 根据权利要求1所述的支撑相控制膝关节支具,其特征在于:The supporting phase control knee brace according to claim 1, wherein:其中,所述电磁致动器为电磁铁,Wherein, the electromagnetic actuator is an electromagnet,所述电磁致动器的输出端通过无弹性拉索或刚性制动连杆连接于所述棘爪的第二外缘凸起,所述电磁致动器工作时对所述棘爪的牵引力方向为辅助所述棘爪脱离与所述棘轮咬合状态的方向。The output end of the electromagnetic actuator is connected to the second outer edge protrusion of the pawl through an inelastic cable or a rigid brake link, and the direction of the traction force on the pawl when the electromagnetic actuator is working In order to assist the direction of the pawl from being engaged with the ratchet wheel.
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