WO2023001755A1 - Systeme d'assistance portatif et appareil correspondant - Google Patents
Systeme d'assistance portatif et appareil correspondant Download PDFInfo
- Publication number
- WO2023001755A1 WO2023001755A1 PCT/EP2022/070050 EP2022070050W WO2023001755A1 WO 2023001755 A1 WO2023001755 A1 WO 2023001755A1 EP 2022070050 W EP2022070050 W EP 2022070050W WO 2023001755 A1 WO2023001755 A1 WO 2023001755A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- interface
- user
- cable
- shoe
- sheath
- Prior art date
Links
- 230000000694 effects Effects 0.000 claims abstract description 9
- 210000003423 ankle Anatomy 0.000 claims description 34
- 230000033001 locomotion Effects 0.000 claims description 21
- 239000000463 material Substances 0.000 claims description 8
- 210000002414 leg Anatomy 0.000 description 63
- 210000002683 foot Anatomy 0.000 description 39
- 244000309466 calf Species 0.000 description 5
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 4
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 4
- 229910052782 aluminium Inorganic materials 0.000 description 4
- 229910052799 carbon Inorganic materials 0.000 description 4
- 210000002303 tibia Anatomy 0.000 description 4
- 210000000689 upper leg Anatomy 0.000 description 4
- 210000003127 knee Anatomy 0.000 description 3
- 210000003789 metatarsus Anatomy 0.000 description 3
- 210000000457 tarsus Anatomy 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 238000002788 crimping Methods 0.000 description 2
- 210000004744 fore-foot Anatomy 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000002027 skeletal muscle Anatomy 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 239000004411 aluminium Substances 0.000 description 1
- 238000004873 anchoring Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000009194 climbing Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 239000010985 leather Substances 0.000 description 1
- 210000001699 lower leg Anatomy 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 230000037023 motor activity Effects 0.000 description 1
- 230000003071 parasitic effect Effects 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
- B25J9/00—Programme-controlled manipulators
- B25J9/0006—Exoskeletons, i.e. resembling a human figure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
- A61H1/0266—Foot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B25—HAND TOOLS; PORTABLE POWER-DRIVEN TOOLS; MANIPULATORS
- B25J—MANIPULATORS; CHAMBERS PROVIDED WITH MANIPULATION DEVICES
- B25J9/00—Programme-controlled manipulators
- B25J9/10—Programme-controlled manipulators characterised by positioning means for manipulator elements
- B25J9/104—Programme-controlled manipulators characterised by positioning means for manipulator elements with cables, chains or ribbons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H3/00—Appliances for aiding patients or disabled persons to walk about
- A61H2003/007—Appliances for aiding patients or disabled persons to walk about secured to the patient, e.g. with belts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1628—Pelvis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
- A61H2201/1642—Holding means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/165—Wearable interfaces
Definitions
- the invention relates to an assistance system worn in service by a user for the execution of at least one task or activity, in particular a motor activity, such as for example walking.
- the invention also comprises an apparatus worn in service by a user comprising at least one such portable assistance system.
- exoskeleton increases a person's physical abilities by making it easier for them to perform certain tasks or activities. Exoskeletons can thus be used in many applications whether military, medical, industrial ... and with a view to rehabilitation, palliation, assistance ...
- Applications FR 3087 694 filed on October 29, 2018 and FR 3 098 142 filed on July 2, 2019 thus illustrate such devices, devices allowing simple and effective movement of the two parts of the joint relative to each other, while being refocused on the joint.
- application FR 3087 694 the movement between the two parts of the articulation is ensured by a double cylinder.
- application FR 3098 142 the movement between the two parts of the joint is ensured by two cylinders mounted in parallel.
- the devices described in applications FR 3087 694 and FR 3098 142 require the integration of elements in front of the foot, which can bother certain users and pose problems. bonding with the environment.
- An object of the invention is to propose an assistance system worn in service by a user for the execution of at least one task or activity which is of an even more reduced volume at the level of the ankle.
- An object of the invention is to provide an assistance device comprising at least one such system.
- an assistance system brought into service by at least one user for the execution of at least one task or activity comprising:
- a first interface worn in service by the user's leg • A second interface worn in service by a shoe of the user, the first interface being mounted to move relative to the second interface around at least one given axis of rotation,
- the system comprises at least one cable intended to extend between the device and an actuation unit which is remote from the device, the unit being arranged to be able to control a relative movement between the first interface and the second interface, the cable being intended to be fixed at its proximal end to an actuation member of the actuation unit and the cable being fixed at its distal end to a lateral and/or rear attachment zone of the second interface , the system further comprising a cable protection sheath extending over only one section of the cable.
- a control of the cable via the actuation unit causes a displacement of the second interface vis-à-vis the first interface around the aforementioned axis of rotation because the cable is linked to the second interface.
- the actuation unit being intended to be offset from the ankle of the user, the cable sufficient alone to move the second interface vis-à-vis the first interface.
- the invention makes it possible to pull the heel upwards and not to push on the front of the foot, which cleverly makes it possible to release the forefoot of the user.
- the invention therefore allows simple and effective movement of the two interfaces relative to each other while being of reduced volume and bulk at the level of the ankle itself.
- the further reduction in mass and volume of the invention vis-à-vis the devices of the prior art is also a source of additional performance gain on a metabolic level for a user.
- a part or a distal end of a limb is that farthest from the center of mass of a user (and vice versa for a part or a proximal end).
- distal and proximal are to be understood in the same way as the distance of a part from the user's center of mass.
- the terms “left” and “right” must extend in the repository of the user himself (and not of a person observing the user).
- the sheath is intended to extend between the actuation unit and the first interface, a distal end of the sheath being fixed to a side and/or rear portion of the first interface.
- the second interface has at least one portion which extends in service between the grip zone and at least the front edge of the arch of the shoe.
- the portion extends in use up to at least the rear of the outsole of the shoe (sometimes also referred to as the outer sole).
- at least the grip zone of the second interface is made of a material that is more rigid than a shoe sole.
- the portion, including the grip zone is made of a material that is more rigid than a shoe sole.
- the first interface and the second interface are in pivot or ball joint connection.
- the first interface comprises means for absorbing forces intended to come to rest against the front of the user's leg.
- the force absorption means are formed directly by at least one means for attaching the first interface to the user's leg.
- the second interface is arranged in service at the level of the sole of the shoe.
- the system includes the actuation unit.
- the invention also relates to an assistance device comprising at least one system as mentioned above intended to be associated with one of the ankles of the user, the device further comprising the actuation unit.
- the apparatus comprises a first system as mentioned above intended to be associated with the right ankle of the user and a second system as mentioned above intended to be associated with the left ankle of the user, the actuation unit being arranged to be able to control a relative movement between the first interface and the second interface of the first system but also arranged to be able to control a relative movement between the first interface and the second interface of the second system.
- the cable of the first system extends between the device and the actuation unit, being fixed at its proximal end to the actuation member of the actuation unit and the cable of the second system extends between the device and the same actuation unit, being fixed at its proximal end to the actuation member of the actuation unit.
- the device comprises a first system as mentioned above intended to be associated with the right ankle of the user and a second system as mentioned above intended to be associated with the left ankle of the user, the actuation unit being arranged to be able to control a relative movement between the first interface and the second interface of a single of the two systems, the device in fact comprising a second actuation unit arranged to be able to control a relative movement between the first interface and the second interface of the other of the two systems.
- FIG. 1a schematically represents an assistance device worn by a user comprising two assistance systems according to a first embodiment of the invention
- Figure lb is an enlarged view of part of one of the systems shown in Figure la;
- Figure 2 is a schematic view of a system according to a second embodiment of the invention worn by a user;
- Figure 3a is a schematic side view of part of a system according to a third embodiment of the invention worn by a user;
- FIG. 3b is a schematic rear view of another part of the system illustrated in FIG. 3a, only part of the elements of the system being represented;
- Figure 4a is a schematic side view of part of a system according to a fourth embodiment of the invention carried by a user;
- Figure 4b is a rear schematic view of another part of the system shown in Figure 4a, only part of the elements of the system being shown.
- an assistance device 1 comprises a first assistance system 10 associated with the right ankle of a user and a second assistance system 20 associated with the user's left ankle.
- the device 1, and therefore the two assistance systems 10, 20, are brought into service by a user in order to help the user in the execution of at least one task or activity, in particular motor, such as, for example, walking and/or running and/or climbing and/or carrying objects, for the civilian domain as well as for the military domain.
- the first system 10 comprises a device 11 positioned close to the user's right ankle and an actuation unit 12 remote from the device 11 to be positioned close to the user's center of gravity.
- the actuation unit 12 is for example positioned above the thighs of the user.
- the actuation unit 12 is for example arranged at the user's lower back.
- the actuation unit 12 is arranged at the lower back of the user on the right side of the lower back.
- the actuation unit 12 is held in place for example by one or more straps and/or a backpack and/or a belt and/or one or more rubber bands and/or any other attachment means.
- the second system 20 comprises a device 21 positioned close to the user's left ankle and an actuation unit 22 remote from the device 21 to be positioned close to the user's center of gravity.
- the actuation unit 22 is for example positioned above the thighs of the user.
- the actuation unit 22 is for example arranged at the user's lower back.
- the actuation unit 22 is arranged at the lower back of the user on the left side of the lower back.
- the actuation unit 22 is held in place for example by one or more straps and/or a backpack and/or a belt and/or one or more rubber bands and/or any other attachment means.
- the two actuation units 12, 22 are located substantially at the same height. More preferably, the two actuation units 12, 22 are located substantially symmetrically with respect to the center of the lower back of the user in order to balance the loads carried.
- the actuation units 12, 22 can be powered separately or jointly, for example by at least one battery also worn at the user's lower back.
- control of the actuation units 12, 22 can be distinct or common, for example by at least one computing device (processor, micro-controller, etc.) also carried at the user's lower back.
- the two systems 10, 20 are here identical so that the following description of the first system 10 is also applicable to the second system 20.
- the device 11 comprises a first interface 13 which is arranged on the leg of the user (the leg being here, as in the anatomical sense of reference, the part of the human body extending between the knee and the ankle).
- the system 10 includes at least one means for attaching the first interface 13 to the leg.
- the attachment means is preferably a link such as a strap or a belt.
- the attachment means is not or very little deformable in the direction of its length.
- the attachment means is not an elastic.
- the first interface 13 is arranged in the lower part of the leg substantially at ankle level, the device 11 thus being of reduced size. More precisely here, the first interface 13 does not protrude from the middle of the leg and preferably does not protrude from the lower third of the leg.
- the first interface 13 is shaped so that the attachment means(s) are positioned under the belly of the gastrocnemius muscle. This makes it possible to limit muscle compression and ischemia of said muscle. There is also thus a first interface 13 of restricted height and consequently a device 11 that is compact.
- the first interface 13 is here entirely arranged at the back and/or on the sides of the user's leg.
- the first interface 13 is well protected from the environment outside the device.
- the first interface 13 comprises a shell 14 arranged at the back of the user's leg.
- the shell 14 is shaped like a band surrounding the back of the user's calf.
- said shell 14 is shaped so as to match the rear shape of the leg.
- the shell 14 has an inner surface (that in contact with the user's leg) curved in order to best match the roundness of the user's calf.
- the shell 14 can take another shape and for example be shaped as a plate that is not curved or has a curvature different from that of the roundness of the user's calf.
- the shell 14 is not necessarily intended to come into contact (at least not permanently) with the user's leg, unlike the attachment means or means in contact (preferably permanently) with at least the front of the leg.
- the shell 14 is extended at its right end by a right tab 15 and at a left end by a left tab 16, tabs which belong to the first interface 13.
- the shell 14 and the legs 15, 16 are integral in movement with each other.
- the lugs 15, 16 are preferably integral with the shell 14.
- the first interface 13 is thus formed in one piece.
- at least one of the lugs is attached to the shell 14 and rigidly fixed thereto.
- the right leg 15 thus extends on the right side of the right leg of the user and the left leg 16 on the left side of the right leg of the user.
- the tabs 15, 16 are distributed symmetrically with respect to the center of the calf.
- the tabs 15, 16 here extend substantially straight and parallel to each other. Typically the tabs 15, 16 extend towards the user's right shoe in an inclined or vertical manner. The tabs 15, 16 therefore extend here in an inclined or orthogonal manner to the strip forming the shell 14. The two tabs 15, 16 are otherwise identical.
- the second interface 30 is carried by the shoe of the user so as to be integral in movement with the user's shoe.
- the second interface 30 is thus rigidly fixed to the shoe.
- the second interface 30 is carried by the sole of the user so as to be rigidly fixed thereto.
- the second interface 30 includes a plate 31 partially or totally surrounding the user's shoe and, for example, partially or totally surrounding the user's sole.
- the plate 31 is preferably arranged level with the sole.
- the plate 31 is arranged at the periphery of the sole and/or on an upper face of an edge of the sole (edge external to the body of the shoe). In the first embodiment described here, the plate 31 surrounds the entire sole so as to border the outer side face of the sole and this over the entire length of said side face.
- the plate 31 can be in contact with the ground or can remain at the level of the sole only, only the sole then being itself in contact with the ground.
- the plate 31 is for example attached to the sole and fixed thereto optionally by tightening, by anchoring, by screwing, by overmolding, etc.
- the second interface 30 is at least partly in a stiffer material than that of the sole.
- at least the plate 31 is made of a stiffer material than that of the sole.
- the plate 31 is thus shaped as an armature.
- the plate 31 is for example made of carbon or even aluminum.
- the second interface 30 also comprises two right 32 and left legs (not referenced here) extending respectively on the right and left sides of the foot.
- the lugs 32 of the second interface 30 are distributed symmetrically between the two sides of the shoe vis-à-vis the rear of the foot of the user.
- the second interface 30 is here composed only of the two legs 32 and the plate 31.
- the second interface 30 is entirely arranged behind and on the sides of the user's leg.
- the second interface 30 is well protected from the environment outside the device.
- the second interface 30 does not include elements arranged in the area located above and in front of the foot.
- the device 11 itself, and therefore the associated system 10 does not comprise any elements arranged in the zone located above and in front of the foot. This is more comfortable for the user.
- the tabs 32 here extend substantially rectilinearly and parallel to each other. Typically, the tabs 32 extend in the direction of the first interface 13 in an inclined or vertical manner. The tabs 32 therefore extend here in an inclined or orthogonal manner to the plate 31.
- the two tabs 32 are otherwise identical.
- the lugs 32 are preferably integral with the plate 31.
- the second interface 30 is thus formed in one piece.
- at least one of the lugs 32 is attached to the plate 31 while being rigidly fixed thereto.
- the free end of the right leg 15 of the first interface 13 is mounted movably on the free end of the right leg 32 of the second interface 30 and the free end of the left leg 16 of the first interface 13 is movably mounted on the end free from the left leg of the second interface 30.
- the free end of the right tab 15 of the first interface 13 is pivotally mounted on the free end of the right tab 32 of the second interface 30 and the free end of the left tab 16 of the first interface 13 is pivotally mounted on the free end of the left leg of the second interface 30.
- the different lugs are also arranged so that the pivot axis is the same for the pair of right lugs and the pair of left lugs.
- the different legs are here arranged so that the pivot axis of the legs of the first interface 13 vis-à-vis the second interface 30 is substantially coaxial with the axis of articulation in natural flexion of the ankle N of the 'user.
- This axis can also be called the "axis of the malleolus”.
- At least the lugs 15, 16 of the first interface 13 are arranged so as to extend, between the shell 14 and the second interface 30, behind vis-à-vis this axis of articulation in natural flexion ankle
- the first interface 13 and/or the second interface are rigid.
- the system 10 comprises at least one cable 17 extending between the actuation unit 12 and the device 11 to connect the actuation unit 12 to the device 11 so that the actuation unit 21 can control the pivoting between the first interface 13 and the second interface 30.
- the cable 17 is fixed at its distal end to the second interface 30.
- said distal end is attached to a zone of the plate 32 called the grip zone 34, zone located behind the shoe (and therefore the foot of the user) .
- the grip zone 34 is located in the center of the rear of the plate 32.
- the cable 17 is also fixed to an actuation member of the actuation unit 12.
- the proximal end is fixed to a winder, such as a pulley, driven in rotation by a geared motor or any other drive unit in rotation of the winder of the actuation unit 12.
- the actuation unit 12 comprises at least one clutch arranged between the winder and the drive assembly in order to be able to temporarily separate the reel from the drive assembly.
- the cable 17 is arranged so as to extend along the body of the user at the rear of the latter and/or on the sides thereof.
- the cable 17 does not extend in front of the body of the user, in particular to avoid hindering the latter in his movements.
- One or more straps and/or one or more belts and/or one or more rubber bands and/or any other fastening means can be used to hold the cable 17 in place.
- the cable 17 is preferably flexible and is for example made of twisted steel.
- the cable 17 is for example provided at each of its two ends with an end piece which is fixed (by crimping, by screwing, etc.) either to the actuation member or to the attachment zone 34.
- the system 10 further comprises a sheath 18 for protecting the cable 17 extending over only one section of the cable 17.
- the sheath 18 and the cable 17 are arranged relative to each other so that the cable 17 can slide to inside the sheath 18.
- the sheath 18 extends here between the actuation unit 12 and the first interface 13.
- a proximal end of the sheath 18 is fixed to a casing of the actuation unit 12, casing surrounding at least the retractor and his training set.
- a distal end of the sheath 18 is fixed to a rear portion of the first interface 13.
- the distal end of the sheath 18 is fixed to the shell 14 of the first interface 13.
- the distal end of the sheath 18 is fixed to an upper portion of the shell 14 and for example to an upper face of the shell 14.
- the sheath 18 is arranged so as to extend along the user's body behind the user and/or on the sides of the user. Preferably, sheath 18 does not extend forward of the user's body.
- One or more straps and/or one or more belts and/or one or more rubber bands and/or any other fastening means can be used to hold the sheath in place.
- the sheath 18 is fixed to the first interface 13 so that its distal end is positioned at least behind the grip zone 34 and preferably behind the rear of the shoe. From the distal end of the sheath 18 to the attachment zone 34, the cable 17 is therefore uncovered. Preferably, the cable 17 then extends straight over this uncovered section.
- the cable 17 can extend over this section in a substantially vertical or oblique manner (and preferably then backwards between the first interface 13 and the second interface 30).
- the uncovered section of the cable 17 can for example pass between the first interface 13 and the user's leg so as to be protected over part of its length by the first interface 13 itself. For example the cable 17 passes between the user's leg and the shell 14 before extending as far as the grip zone.
- Sheath 18 is preferably flexible.
- the sheath 18 is preferably shaped to have good mechanical properties of resistance to crushing (i.e. to compression).
- the sheath 18 is shaped to have a resistance to crushing of at least 70 kilograms per picometer per second squared and optionally at least 100 kilograms per picometer per second squared and optionally at least 150 kilograms per picometer per second squared and optionally at least 200 kilograms per picometer per second squared.
- the sheath 18 is preferably shaped to have good mechanical properties of resistance to buckling in bending in order to protect the cable 17.
- the sheath 18 is for example formed at least in its central part of an envelope (cotton, plastic, etc.) inside which a spring is arranged.
- the sheath 18 is for example provided at each of its two ends with a stop which is fixed (by crimping, by screwing, etc.) either to the actuation unit 12 or to the first interface 13.
- these stops such as the central part of the sheath are drilled to allow the cable 17 to slide relative to the sheath 18.
- the sheath 18 and the cable 17 thus associated preferably form a so-called “Bowden cable” assembly.
- the geared motor rotates the pulley which in turn causes the cable 17 to be wound around the pulley: the traction exerted on the cable 17, directed upwards, causes the two interfaces 13, 30 to pivot between them.
- the system 10 exerts traction at the level of the user's heel (via the cable 17 and the second interface 30) which makes it possible to generate a torque around the natural axis of flexion of the ankle N called "plantar flexor torque" (authorized by the pivoting between the two interfaces 13, 30).
- plantar flexor torque authorized by the pivoting between the two interfaces 13, 30.
- each actuation unit 12, 22 is actuated so as to temporarily disconnect the reel from the associated drive assembly. This avoids the user having to fight against the mechanical inertia of the drive assembly.
- the device 1 thus makes it possible to help the user in his movements, for example for walking or running or in other movements such as for example a jump.
- the apparatus 1 thus described turns out to be relatively simple in construction.
- Each system 10, 20 moreover authorizes a direct action on its second interface by the cable in question, which allows the system in question (and therefore the device) to be effective because it is reactive.
- the device 1 also proves to be robust.
- each device is particularly compact by remaining centered around the ankle. This also makes it possible to be able to wear the device to a large number of people, relative to a device of the prior art going up high on the tibia for which one then encounters problems of tibia length or different calf dimensions for each user. .
- the apparatus 1 does not include any element running at the level of the thigh, or carried by the thigh, or even at the level of the knee, which makes the very ergonomic device.
- the zone located above the user's foot and in front of said foot is devoid of any element of said device.
- each system 10, 20 is relatively light and not bulky.
- the rear part of the leg and that of the foot are less subject to clashes with the environment: because the device is here arranged at the rear and/or on the sides of the user, the system is thus well protected.
- at least one of the systems 10, 20 can be associated with additional protection (such as clothing and for example an ankle gaiter) of the system, of the device and for example of the uncovered section of the cable.
- the flexibility of the cable/sheath assembly allows the user to be less bothered by the presence of this together.
- this assembly is arranged solely or mainly at the rear of the user in the present case, which amplifies this effect.
- the systems 10, 20 thus described cleverly allow only their cables to run behind the leg once the first interface has been passed.
- the distal end of the sheath is secured to the first interface which is itself connected to the user's shoe (via the second interface) and therefore to the ground.
- the forces exerted on the sheath by the system, and in particular the cable are mainly taken up by the ground and not by the user directly (with the exception of an antero-posterior force exerted against the front of the leg of the user by the attachment means or means of the first interface 13). This ensures in particular better stability of the sheath vis-à-vis the user and/or better comfort in use for the user (in particular by avoiding too many and significant parasitic forces applied to the skeleton of the 'user).
- the second interface here extends from the rear of the shoe to the front of the shoe.
- the second interface therefore extends along the part of the user's foot called the “tarsus” and even the part of the foot called the “metatarsus”.
- This second embodiment is identical to the first embodiment apart from the two points following.
- the second interface 30 extends from the rear of the heel of the shoe as far as at least the front edge of the arch of the shoe, and preferably as far as the rear of the outsole of the shoe but without thereby reaching the front tip of the shoe.
- the first interface 13 While in the first embodiment, the first interface 13 extended entirely behind and on the sides of the leg, in the second embodiment, the first interface 13 comprises a framework 19 arranged at the front of the user's leg.
- the framework 19 is preferably shaped so as to match the front shape of the leg.
- the frame 19 has an internal surface (that in contact with the leg of the user) curved in order to best match the roundness of the tibia of the user.
- the framework 19 is shaped like a band surrounding the front of the user's tibia.
- the framework 19 is typically shaped like a plate (here curved at least at its inner surface).
- the frame 19 is also fixed to the rest of the first interface 13 so that the frame 19, the shell 14 and the legs 15, 16 are integral in movement with each other.
- the framework 19 is preferably integral with the shell 14 and/or at least with one of the tabs 15, 16.
- the first interface 13 is preferably thus formed in one piece.
- the frame 19 is attached to the shell 14 and/or at least one of the legs 15, 16 in being rigidly fixed to the element in question (for example by screwing).
- the second embodiment is identical to the first embodiment.
- the first interface 13 is arranged, in the lower part of the leg substantially at ankle level, - the first interface 13 does not protrude from the middle of the leg and preferably does not protrude from the lower third of the leg,
- the first interface 13 is shaped so that the attachment means or means are positioned under the belly of the gastrocnemius muscle.
- each system comprises means for taking up forces intended to come to rest against the front of the target leg of the user.
- these means are incorporated directly into the first interface 13 in the form of a dedicated framework, whereas in the first embodiment, these means are formed directly by one or more attachment means making the system lighter and less bulky.
- This third embodiment is identical to the second embodiment which has just been described apart from the positioning of the cable 17 and the sheath 18.
- the sheath 17 and the cable 18 were arranged entirely at the back of the user's leg and foot (or else were arranged mainly at the back of the user's leg and foot)
- the sheath 18 like the cable 17 extend only (or mainly) on one of the lateral sides of the user's leg and foot.
- the sheath 17 and the cable 18 extend on the left side of the leg and the foot of the user and for the system associated with the left ankle of the user, the sheath and the cable extend over the right side of the user's leg and foot.
- the various sheaths and cables are better protected. Consequently the sheath 18 and the cable 17 are arranged so as to extend along the body of the user, on the side of the body of the user. The sheath 18 and the cable 17 therefore do not extend here in front of the user's body.
- the distal end of the sheath 18 is fixed to a lateral portion of the first interface 13.
- the distal end of the sheath 18 is for example fixed to one of the legs of the first interface 13.
- the distal end of the sheath 18 is attached to the leg substantially at the level of the upper end of said leg.
- the sheath 18 is fixed to the first interface 13 so that its distal end is positioned in front of the attachment zone 34.
- the uncovered section of the cable 17 extended vertically or obliquely downwards towards the front of the foot
- this uncovered section extends obliquely downwards towards the rear of the foot.
- the sheath 18 and the cable 17 are fixed on the side of the leg and the foot and not behind, it is optionally possible, vis-à-vis the first embodiment, to modify the first interface 13 in order to example of reducing or eliminating the shell 14 of the first interface.
- the shape of the second interface 30 can be optionally modified, vis-à-vis the first embodiment, to adapt to the new position of the cable 17.
- the plate 31 of the second interface 30 may include an extension 35 extending upward (obliquely or vertically) so that the distal end of cable 17 can be anchored thereto. This would prevent the cable 17 from protruding from the back of the shoe.
- the third embodiment is identical to the second embodiment.
- This fourth embodiment is identical to the third embodiment except that two sheath-cable assemblies (and no longer just one) are associated with at least one of the pins.
- a first sheath/cable assembly 17, 18 extends over the left side of the user's leg and foot and a second sheath/cable assembly s extends down the right side of the user's leg and foot.
- a first sheath/cable assembly 17, 18 extends over the left side of the user's leg and foot and a second sheath/cable assembly extends over the right side of the leg and of the user's foot.
- the distal end of one of the sheaths will be fixed to the first of the two legs of the first interface and the distal end of the other of the sheaths will be fixed to the second of the two legs of the first interface.
- the actuation of the two sheath/cable pairs can be ensured by the same actuation unit.
- said system may comprise two different actuation units each actuating only one of the two cable/sheath pairs.
- the fourth embodiment is identical to the third embodiment.
- the system or systems may be autonomous.
- the system(s) may thus comprise their own power supply which may be close to one or both interfaces, carried by one or both interfaces or arranged remotely from the two interfaces.
- the apparatus, the system(s) may be used in numerous applications and may be or form part, for example, of an exoskeleton, an orthosis, a prosthesis, a portable system, a system integrated into a robot...
- the device, system(s) are carried by a human
- the device, system(s) the systems can be carried by a robot (the user will then be a robot or a human).
- the apparatus, the system or systems could thus be an assistance exoskeleton of a human body.
- the device, the system or systems may include other elements than what has been indicated, such as one or more sensors for measuring the force exerted by the user's foot on the ground or the force exerted by the second interface on the shoe ... the sensor(s) can measure other parameters such as temperature, pressure, acceleration, position
- the interfaces may take another form than those described.
- each interface could take the form of a sleeve.
- Other means of attachment than those indicated may be used to attach the interfaces to the user, such as, for example, hook/loop type attachment strips (such as the product marketed under the Velcro brand)..
- the first interface may include other means for absorbing forces intended to come to rest against the front of the leg of the user than those which have been indicated and for example a strap.
- the device may comprise a different number of systems than what has been described and for example a single system.
- the apparatus may be shaped so to comprises only one actuation unit for controlling both the system associated with the right ankle and both the system associated with the left ankle.
- the device may comprise in a single housing two different actuating members, one controlling the system associated with the ankle right and the other the system associated with the left ankle (whereas in the first embodiment described each actuation unit comprises its own housing incorporating its own actuation member).
- the device may comprise, in a single housing, a single actuation member which will be common to both systems: for example, the actuation member may comprise an actuation assembly, the output of which will be associated with two different unwinders (for example using gears and/or one or more clutches) for actuating the cables of each of the systems. It will thus be possible to temporarily and independently associate/disassociate the actuation of each of the cables.
- the first interface is in pivot connection with the second interface
- the first interface/second interface connection of at least one of the systems could be different and be for example a ball joint connection.
- One or both interfaces of at least one of the systems could be directly integrated into the clothes or shoes of a user instead of being attached to them as has been described.
- the second interface could be an integral part of the user's shoe.
- the second interface could be an integral part of the sole of the user.
- the second interface may thus be in the form of one or more inserts integrated inside the shoe (body and/or sole). At least one of the inserts could be carbon or aluminum. The insert(s) may be visible or invisible from the outside (hidden by the leather of the body of the shoe and/or the rubber of the sole). The various inserts could simply be connected by the body of the shoe and/or the sole of the shoe and/or by one or more connecting inserts. If the second interface is an integral part of the shoe, the first interface may be pivotally mounted directly on the body and/or the sole of the shoe (instead of being pivotally mounted directly on the second interface as indicated in the four embodiments presented).
- the first interface can thus be carried directly by the body of the shoe and/or the sole of the shoe and/or the second interface.
- the grip zone can thus be made of carbon or even aluminum.
- a second interface having at least one portion which extends between the grip zone and at least the front edge of the arch of the shoe, and preferably up to at least the rear of the sole of the shoe. shoe wear.
- Said portion will thus preferably extend at least along the part of the foot (or under the part of the foot) of the user called “tarsus”, and preferably at least up to the part of the foot called “metatarsus”. .
- a second interface which has a portion which extends between the grip zone and at least the front edge of the arch of the shoe, and preferably as far as at least the rear of the outsole of the shoe (said portion will then preferably extend at least along the part of the foot or under the part of the foot of the user called “tarsus”, and preferably at least up to the part of the foot called “metatarsus” );
- Said portion may thus be made of carbon or even in aluminium.
- Said portion may be formed of one or more inserts in the case where the second interface forms an integral part of the shoe. It is of course possible to mix the different embodiments.
- at least one of the systems of the first embodiment may comprise a framework arranged at the front of the leg and connected to the first interface (as in the second embodiment).
- At least one of the systems of the first embodiment or of the second embodiment may comprise two sheath/cable pairs as in the fourth embodiment.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- Robotics (AREA)
- Mechanical Engineering (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rehabilitation Tools (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Endoscopes (AREA)
- Prostheses (AREA)
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP22741796.1A EP4373640A1 (fr) | 2021-07-21 | 2022-07-18 | Systeme d'assistance portatif et appareil correspondant |
CA3225200A CA3225200A1 (fr) | 2021-07-21 | 2022-07-18 | Systeme d'assistance portatif et appareil correspondant |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FRFR2107840 | 2021-07-21 | ||
FR2107840A FR3125454B1 (fr) | 2021-07-21 | 2021-07-21 | Systeme d’assistance portatif et appareil correspondant |
Publications (1)
Publication Number | Publication Date |
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WO2023001755A1 true WO2023001755A1 (fr) | 2023-01-26 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/EP2022/070050 WO2023001755A1 (fr) | 2021-07-21 | 2022-07-18 | Systeme d'assistance portatif et appareil correspondant |
Country Status (4)
Country | Link |
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EP (1) | EP4373640A1 (fr) |
CA (1) | CA3225200A1 (fr) |
FR (1) | FR3125454B1 (fr) |
WO (1) | WO2023001755A1 (fr) |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20150209214A1 (en) * | 2013-12-16 | 2015-07-30 | Massachusetts Institute Of Technology | Optimal design of a lower limb exoskeleton or orthosis |
US20170035187A1 (en) * | 2014-04-16 | 2017-02-09 | The Commonwealth Of Australia | Exoskeleton system for load carrying |
US20170348176A1 (en) * | 2016-06-02 | 2017-12-07 | Massachusetts Institute Of Technology | High Performance Free Rolling Cable Transmission |
WO2018191777A1 (fr) * | 2017-04-18 | 2018-10-25 | The Commonwealth Of Australia | Système d'exosquelette amélioré pour port de charge |
US20200016020A1 (en) * | 2018-07-10 | 2020-01-16 | Dephy, Inc. | Wearable joint augmentation system |
FR3087694A1 (fr) | 2018-10-29 | 2020-05-01 | Safran Electronics & Defense | Dispositif destine a etre positionne a proximite d’une articulation et systeme general comportant un tel dispositif |
FR3098142A1 (fr) | 2019-07-02 | 2021-01-08 | Safran Electronics & Defense | Dispositif compact destiné à être positionné à proximité d’une articulation et système général comportant un tel dispositif compact |
-
2021
- 2021-07-21 FR FR2107840A patent/FR3125454B1/fr active Active
-
2022
- 2022-07-18 EP EP22741796.1A patent/EP4373640A1/fr active Pending
- 2022-07-18 WO PCT/EP2022/070050 patent/WO2023001755A1/fr active Application Filing
- 2022-07-18 CA CA3225200A patent/CA3225200A1/fr active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20150209214A1 (en) * | 2013-12-16 | 2015-07-30 | Massachusetts Institute Of Technology | Optimal design of a lower limb exoskeleton or orthosis |
US20170035187A1 (en) * | 2014-04-16 | 2017-02-09 | The Commonwealth Of Australia | Exoskeleton system for load carrying |
US20170348176A1 (en) * | 2016-06-02 | 2017-12-07 | Massachusetts Institute Of Technology | High Performance Free Rolling Cable Transmission |
WO2018191777A1 (fr) * | 2017-04-18 | 2018-10-25 | The Commonwealth Of Australia | Système d'exosquelette amélioré pour port de charge |
US20200016020A1 (en) * | 2018-07-10 | 2020-01-16 | Dephy, Inc. | Wearable joint augmentation system |
FR3087694A1 (fr) | 2018-10-29 | 2020-05-01 | Safran Electronics & Defense | Dispositif destine a etre positionne a proximite d’une articulation et systeme general comportant un tel dispositif |
FR3098142A1 (fr) | 2019-07-02 | 2021-01-08 | Safran Electronics & Defense | Dispositif compact destiné à être positionné à proximité d’une articulation et système général comportant un tel dispositif compact |
Also Published As
Publication number | Publication date |
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EP4373640A1 (fr) | 2024-05-29 |
FR3125454A1 (fr) | 2023-01-27 |
CA3225200A1 (fr) | 2023-01-26 |
FR3125454B1 (fr) | 2023-11-17 |
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