The invention relates to a device for fixing two orthopedic components to one another, comprising a receiving element arranged on a first orthopedic component, which receiving element has a receptacle, and comprising a connecting element arranged on a second orthopedic component, which connecting element has a connector which can be inserted into the receptacle and is coupled to the receiving element in such a way as to transmit tensile forces, compressive forces and torques.
An orthopedic system is composed of several orthopedic components assembled to form an orthopedic unit and has a functionality going beyond the functionality of the orthopedic components. An orthopedic system is, for example, an orthosis, a prosthesis or a wheelchair, and parts of such a system are considered to be orthopedic components, for example prosthetic or orthotic joints, tube adapters, prosthetic hands, rotary adapters, prosthesis sockets, orthosis rails, foot shells, hip shells, fastening devices for fastening orthoses to limbs, drives, data loggers, radio modules, feedback elements, energy stores, damper devices with hydraulic, magnetorheological and/or pneumatic dampers, drives, gears, sensors, and operating devices. An orthopedic system can be, for example, a thigh prosthesis with a prosthesis socket, a prosthetic knee joint and a lower-leg tube with a prosthetic foot arranged thereon, and a below-knee prosthesis can be composed of a lower leg socket with a prosthetic foot, if appropriate with a prosthetic ankle joint. If a thigh socket is connected to a lower-leg tube in an articulated manner via a prosthetic knee joint, a drive and/or a damper device can be arranged between the thigh socket and the lower-leg tube and can be controlled, for example, by a processor on the basis of sensor values. Depending on sensor data, drives are activated or deactivated or damper properties are changed, for example a flexion resistance is reduced or increased.
An analogous set-up can be provided in the case of orthoses. Wheelchairs can supplement orthotic and/or prosthetic management of patients or can constitute an independent orthopedic system.
Particularly in complex orthopedic systems, it is possible to provide several electrical devices such as electrical consumers, motors, actuating elements, sensors, processors, coils for changing the properties of magnetorheological liquids, or steering devices in the case of wheelchairs.
DE 19 22 619 B1 discloses an adjustable connecting element for prosthesis parts, consisting of a ball joint which can be locked in defined positions and on the spherical cap of which a preferably four-sided pyramid is placed with its tip pointing to the ball center point, which pyramid engages in a recess of the ball socket, in which set screws are arranged to bear on the side faces of the pyramid. This so-called pyramid adapter allows orthopedic components to move relative to one another by means of the two orthopedic components on the ball joint being moved relative to each other. In the desired position that is set, the position found is fixed by tightening the set screws. By means of the pyramid shape, the ball socket is braced relative to the spherical cap such that the two components are fixed relative to each other in all directions. Such a pyramid adapter has long been known for releasable and adjustable connection of prosthesis components relative to one another and is used as standard, for example for connecting a prosthesis socket to a prosthetic joint or for connecting a lower-leg tube to a prosthetic joint.
In the case of orthoses, rails or shells are connected to orthosis joints via so-called rail boxes, which have a recess within a support, in which recess a rail or a correspondingly configured projection can be inserted. By means of screws or clamping devices, the rail or the projection is locked in the rail box such that, similarly to the case of the pyramid adapter, it is possible for tensile forces, compressive forces and torques to be transmitted at the connection site.
By means of such devices for connecting several orthopedic components such as prosthesis parts or orthosis parts, it is possible to achieve a modular set-up of orthoses or prostheses and to adapt them easily to the respective patient.
Orthoses and prostheses have an increasingly complex set-up with drives, sensors and data processors. The object of the present invention is to simplify the assembly of the orthopedic components to form an orthopedic system.
According to the invention, this object is achieved by a device having the features of the main claim. Advantageous embodiments and developments of the invention are disclosed in the dependent claims, the description and the figures.
In the device for fixing two orthopedic components to one another, comprising a receiving element arranged on a first orthopedic component, which receiving element has a receptacle, and comprising a connecting element arranged on a second orthopedic component, which connecting element has a connector which can be inserted into the receptacle and is coupled to the receiving element in such a way as to transmit tensile forces, compressive forces and torques, provision is made that at least one contact, preferably several current-transmitting and/or data-transmitting contacts, is/are arranged on the connecting element and the receiving element in a corresponding manner, which contacts together form an electrical and/or data-transmitting connection when the orthopedic components are fixed to one another. By virtue of the arrangement or formation of at least one contact or contacts both in the connecting element and in the receiving element, it is possible to make available a device which, in addition to a mechanical connection of orthopedic components, at the same time produces an electrical connection, such that, for example, data can be transmitted via the contacts and/or electrical energy from an energy source, for example an accumulator, can be transmitted to a consumer, for example a drive. The electrical and/or data-transmitting contacts are produced automatically during mechanical coupling of the orthopedic components to one another, as a result of which it is possible to safely and permanently permit not only a mechanical connection but also an electrical and/or data-transmitting connection of orthopedic components such as orthosis parts or prosthesis parts. It is possible to arrange at least one contact on the connecting element and one contact on the receiving element. For the sake of simplicity, multiple contacts are discussed below, but this is not to be regarded as limiting the invention to a plurality of contacts.
The connector can be designed as a stub, or as a pyramid, truncated pyramid, truncated cone or cone with its tip pointing toward the connecting element, in order to permit and facilitate a form-fit connection of connecting element and receiving element to each other. By way of the connector, the connecting element can be adjusted, oriented and fixed relative to the receiving element, such that an adjustable orientation of the orthopedic components relative to one another can be obtained.
The connector can be provided with one or more spring-loaded or pretensioned locking elements, so as to be able to produce a simple and reversible plug connection between the connecting element and the receiving element. The locking element can be designed as a protection against withdrawal, as a clip or as an elastic projection, which fixes the two elements to each other after the connecting element has been joined to the receiving element.
The receiving element and the connecting element can have fastening elements with which it is possible to fix the receiving element and the connecting element reversibly on the respective orthopedic component. Alternatively, provision is made that the receiving element or the connecting element is designed as an integral constituent part of the respective orthopedic component.
To permit simplified joining of the receiving element to the connecting element, the receptacle in the receiving element is designed corresponding to the connector. If a subsequent adjustment is to be carried out after the joining procedure, an embodiment of the receptacle is provided which permits a movement of the receiving element relative to the connecting element before the desired position is finally fixed in each case.
To allow the receiving element and connecting element and therefore the orthopedic components to be fixed relative to one another adjustably in the desired position, the receiving element has at least one tensioning element, preferably several tensioning elements, which is/are movable from an insertion position, in which the connector is insertable into the receptacle, to a locking position, in which the connector is fixed in the receptacle. These tensioning elements can be designed in particular as set screws, toggles, latching pins or wedges. The tensioning elements are arranged and designed such that a connection between the receiving element and the connecting element is produced via which tensile forces, compressive forces and torques can be transmitted. By way of the connecting element and the receiving element, the mechanical forces passed through the two orthopedic components are transmitted permanently and safely. The tensioning elements preferably act transversely or at an angle of between 80° and 90° to the contact surface between the tensioning element and the connector. The tensioning elements can also penetrate into the connector and can there produce a form-fit lock against a relative displacement of connecting element and receiving element. For example, pins, stubs or screws can be inserted into the connector.
In a variant of the invention, provision is made that the locking element and the receiving element form a ball joint, wherein a socket is formed on the receiving element and a spherical cap is formed on the connecting element, such that angle adjustability of receiving element and connecting element relative to each other is provided in all directions of rotation. Depending on the design of the connector, which is mounted on the spherical cap, it is also possible to permit a free rotation about the longitudinal extent of the connector. Depending on the design of the receptacle, it is possible, even with a straight-wall configuration of the connector, to obtain any desired rotation of the connecting element relative to the receiving element about an axis parallel to the longitudinal extent of the connector, until fixing via tensioning elements, e.g. set screws, takes place. In addition to rotational degrees of freedom, the coupling of the connector in the receptacle also permits a displaceability of the components before the desired position is fixed.
The contacts can be arranged or formed on surface regions of the connecting element and of the receiving element. The connecting element and the receiving element are preferably made of metal, in particular light metal. The contacts are arranged or formed on surface regions electrically insulated from one another in particular, such that electrical contact or data-transmitting contact takes place at several contact faces together with the connection between the connecting element and the receiving element. Conversely, the separation of the electrical or data-transmitting contacts is effected when the mechanical connection between the connecting element and the receiving element is undone. The plurality of electrical and/or data-transmitting contacts, which are separate from each other, are preferably arranged or formed on the end faces and side faces of the connector. Likewise, they can be arranged or formed on other abutting surfaces of the connecting element and of the receiving element, for example on the socket and the spherical cap in the case where the connecting element and the receiving element are configured as a ball joint. The contacts are then configured as surface contacts which produce the desired connection when pressed onto each other.
The contacts can be designed as plug contacts which, together with the connection of connecting element and receiving element, form a plug contact with each other.
The contacts can be arranged in a plug and a bushing, which are arranged on or in the connecting element and the receiving element. It is thereby possible to manufacture the plug contacts separately from the receiving element and the connecting element and subsequently to connect them to or integrate them with the connecting element and the receiving element in an assembly procedure. The electrical and/or data-transmitting contacts can then be connected via lines or cables to further electrical or data-processing devices in the orthopedic system or the orthopedic component. The plugs can be mounted in a floating fashion on or in the connecting element and the receiving element in order to tolerate assembly play and, in the event of an adjustment of the connecting element relative to the receiving element, to further ensure safe plug contact. The plug and the bushing can be connected to each other via a magnetic coupling, so as to provide independent contacting and additional safeguarding of the contact for transmission of energy and data.
The delivery of the energy or data to the contacts preferably takes place via cables which are flexible in length and/or are guided in a link chain. A line that is adjustable in length is, for example, a spirally wound line with an elastic sheath, which particularly facilitates assembly. If plug contacting is provided in which the plug and/or the bushing are/is mounted in a floating fashion, a length-adjustable connection makes available the sufficient line length for reliably producing the contacts. After assembly, the line is under slight tensile stress, such that the respective line remains held in place. The plug contact is maintained, for example, by frictional forces or a magnetic coupling. The tension in the line prevents a situation where the line is arranged loosely within the orthopedic component in the assembled state. The guiding in a link chain is particularly expedient if one of the orthopedic components is a joint, so that a relative displacement of orthopedic components relative to each other is intended to take place.
In a development of the invention, provision is made that at least one passage through which a line passes from a first component to a second component is formed in the receiving element and in the connecting element. Through this passage, it is possible, for example, to guide cables or hydraulic or pneumatic lines from a first component to a second component through the connection site between the two components. Through this passage, a line can be routed inside the components, which leads to improved protection against buckling and to improved protection against external influences. The passage is preferably formed by recesses and/or bores inside the connecting element and the receiving element. In an embodiment of the connecting element with a connector, for example a pyramid connector or pyramid adapter, and with the receiving element as a tube adapter for receiving the connector or pyramid adapter, bores are formed flush with one another in the tube adapter and in the pyramid adapter, such that, after assembly, a free passage from a distal component to a proximal component is possible. The respective bore is then continued, for example through a tube attachment or a tube portion integrally formed or secured on the tube adapter, and through the connecting element, for example a pad for receiving the pyramid adapter. A passage in the receiving element and in the connecting element, for routing a line from a first component to a second component inside the receiving element and the connecting element, can also be configured without energy-transmitting and/or data-transmitting contacts on the connecting element and the receiving element. The passage of lines such as cables or hydraulic elements can be provided as an independent solution.
Illustrative embodiments of the invention are explained in more detail below with reference to the accompanying figures, in which:
In the distal region of the below-knee part 20, a further tube portion 40 is provided, at the distal end of which a third receiving element 50 is arranged via which, in interaction with a further connecting element 80, a connection to a prosthetic ankle joint 30 is produced. By way of the prosthetic ankle joint 30, it is possible to pivot a foot part 35, which is arranged on the prosthetic ankle joint 30 about a pivot axis 23. The prosthetic ankle joint 30 can be designed as an electrical and/or hydraulic actuator and can damp or support or bring about a plantar flexion and/or dorsal flexion of the foot part 35. For this purpose, storage devices for electrical and/or mechanical energy can be arranged in the prosthetic ankle joint 30 and can be activated or deactivated via a control device and corresponding actuators. The activation or deactivation advantageously takes place on the basis of sensor-based control.
Screws, in particular grub screws, are arranged inside the receiving elements 50 and permit mechanical locking with the connecting element 80. In the illustrative embodiment shown, three orthopedic components 10, 20, 30 are present, wherein the first component 10 is connected to the below-knee part, as second component 20, via the receiving element 50 on the tube portion and the connecting element 80 is connected to the upper part of the prosthetic knee joint. The below-knee part 20 forms the first component for the connection to the prosthetic ankle joint 30, while the prosthetic ankle joint 30 forms the second component. In principle, it is also possible that the receiving element 50 is arranged on the distal component of the component connection, while the connecting element 80 is arranged on the proximal component.
A connector 60 in the form of a pyramid adapter is inserted inside the receptacle 55. The connector 60 has a shape like a pyramid or cone, wherein the tip of the pyramid or of the cone points in a direction away from the tube 40, in the distal direction in the illustrative embodiment shown. The region of the pyramid tip or cone tip is adjoined by the connecting element 80, which has a surface like a spherical cap, such that in a released state, when the screws 90 are not tightened, the connecting element 80 can be moved relative to the receiving element 50. For this purpose, the connector 60 is slightly smaller than the receptacle 55, such that a pivoting and twisting of the orthopedic components 10, 20 can take place via the connection to the receiving element 50 and to the connecting element 80. After a corresponding pivoting or twisting and aligning of the individual components 10, 20, 30 with respect to one another, the screws 90 are tightened until they bear on the connector 60. By way of the oblique shape of the side surfaces of the connector, the receiving element 50 is pressed in the direction of the connecting element 80 and produces a stable connection that transmits force and torque. The connector 60 can be integrally formed on the connecting element 80 or can be secured thereto. The securing can be reversible and involve form-fit engagement or cohesive bonding, for example by welding.
Energy-transmitting and data-transmitting contact faces 70 are arranged or formed on the outside of the connector 60 and, by way of cables or conducting tracks inside the second component, allow data and/or electrical energy to be forwarded via the connecting element 80. The contact faces 70 can be arranged or formed on all sides of the connector 60, wherein the connector 60 is either non-conductive itself or has an insulating coating, such that a short circuit does not occur or the data line is not interrupted. Forwarding from the contact faces 70 takes place via the screws 90, which are designed as conductive screws and at the same time form the tensioning elements with which the connector 60 is fixed in the receptacle 55. The screws 90 as tensioning elements can be unscrewed such that the connector 60 is located in an insertion position. After the connector 60 has been inserted into the receptacle 50, the tensioning elements 90 formed as screws are screwed in and brought to a locking position (shown in
In an embodiment of the connector 60 as a four-sided pyramid adapter, four contact faces 70 are present, such that data and/or energies can be transmitted via four conductive screws 90, which also from contacts. The screws 90 are electrically insulated from the tube adapter 50 and are connected to current lines and/or data lines, in order to permit and produce a corresponding connection of the upper part or the first component 10 to the second component 20.
A combination of the embodiments of
Number | Date | Country | Kind |
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10 2017 131 193.9 | Dec 2017 | DE | national |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2018/085661 | 12/18/2018 | WO | 00 |