The present invention relates generally to medical devices. More specifically, the present invention relates to orthotic devices for supporting the ankle joints of people suffering from arthritis, osteoarthritis, diabetes, ankle sprains, and other deformities.
Plantar flexion and dorsi flexion are two main movements of ankle joints (See
However, in patients suffering from ailments that affect ankle joints, such as arthritis, osteoarthritis, ankle sprains, and other deformities, both plantar flexion and dorsi flexion are restricted and often painful. The restriction may be caused due to pain and stiffness caused by inflammation and muscle weakness, causing cascading symptoms such as decreased mobility, increased pain, and degradation in overall quality of life. According to a study published by the National Library of Medicine, National Institute of Health (NIH), United States of America, it is estimated that ankle osteoarthritis alone affects up to 1% of the entire adult population in the United States. Moreover, ankle osteoarthritis can also cause pain when a normal load is put on the ankle, regardless of ankle flexion.
One common treatment for such ailments is a restrictive brace to prevent ankle flexion. These devices eliminate pain for some, but also eliminate ankle mobility and do not reduce the load on the ankle. This load is a primary contributor to pain. The loss of ankle mobility may also be counterproductive to the treatment of arthritis, as movement in a joint with some pressure is what lubricates and maintains cartilage in that joint. Offloading devices for ankle joints allows a patient to have relatively greater mobility. Current offloading devices aim to attain certain key objectives such as pressure redistribution, improved alignment and gait, and reduced muscle strain.
Many ankle braces to be used as offloading devices have been suggested in the art, but fail to promote function while reducing pain. For example, many offloading ankle braces restrict plantar flexion leading to increased muscle atrophy. Other offloading devices offload via only a compressive force with a common coefficient of friction such as that between a cloth and the skin, which is not sufficient to offload enough weight to reduce pain and symptoms. The magnitude of offloading is important to the reduction of pain. Several other braces offload by applying a load exclusively at the patellar tendon (See
Therefore, there is a need in the art for an offloading device that does not suffer from the aforementioned deficiencies.
Some of the objects of the present invention are as follows:
An object of the present invention is to provide an offloading device that allows for a full range of motion in dorsi and plantar flexion, successfully redistributes weight above the ankle, and does so all while inconspicuously while fitting inside a wearable shoe or while being embodied as a wearable shoe itself.
Another object of the present invention is to provide an offloading device that allows reactionary force being applied to an ankle joint by the ground to be offloaded to portions of the lower leg of a user, which lie above the ankle joints.
Another object of the invention is to provide an offloading device that not only reduces or eliminates reactionary forces acting on the ankle joint but also provides cushion or clearance to the heel and/or midfoot which is desirable for patients suffering from diabetic ulcers and other foot injuries.
Another object of the present invention is to provide an offloading device that includes a rigid support member that makes contact with the ground, and bracing members connected to the rigid support member that transfer the reactionary forces being applied to the rigid support member to the portions of the lower leg that lie above the ankle joint.
Another object of the present invention is to provide an offloading device that includes an insole member that cushions at least the posterior portion of the foot of the user thereby allowing muscles and/or outer skin in the lower leg, and above the ankle joint, to stretch while being held firmly by the bracing members.
Another object of the present invention is to provide an offloading device in which the bracing members are provided with inner liners that are deformable and skin-friendly to not cause any adverse effects to blood supply in the lower leg or allergic reactions to the portion of the skin in the lower leg.
Another object of the present invention is to provide an offloading device in which the bracing members may be fastened to the portion of the lower leg above the ankle joint with fastening arrangements such as belts or straps.
Another object of the present invention is to provide an offloading device in which the portion of the offloading device supporting the foot may also be embodied as a wearable shoe.
According to a first aspect of the present invention, there is provided an offloading device for supporting an ankle joint of a user. The offloading device includes a foot locating member configured to locate therewithin a foot of the user. Furthermore, the offloading device includes one or more bracing members pivotably coupled to the foot locating member on a left side and a right side of the foot locating member, the one or more bracing members configured to grasp a portion of a lower leg that is located above the ankle joint. The offloading device further includes one or more liner pads provided on inner surfaces of the one or more bracing members, wherein the one or more liner pads are configured to make contact with skin of the user. Also, the offloading device includes a fastening arrangement configured to fasten the one or more bracing members to the portion of the lower leg that is located above the ankle joint. Furthermore, the one or more liner pads are made from a deformable material coated with a contact material, static coefficient of friction of the contact material ranging from 0.4 to 1.0, and kinetic coefficient of friction of the contact material ranging from 0.3 to 0.8.
In one embodiment of the invention, the one or more bracing members and the foot locating member form a unitary structure, and the one or more bracing members are pivotably coupled to the foot locating member through flexure hinges at the left side and the right side of the foot locating member.
In one embodiment of the invention, the offloading device further includes an insole member fastened to the foot locating member, the insole member including an insole anterior portion and an insole posterior portion, wherein at least the insole posterior portion is configured to undergo deformation within a predetermined range.
In one embodiment of the invention, the insole member is in contact with and bonded to the foot locating member, along entire length of the foot locating member, the insole member being made from a deformable material.
In one embodiment of the invention, at least the insole posterior portion is suspended from lateral surfaces of the foot locating member.
In one embodiment of the invention, the foot locating member includes a basal locating member made from a rigid material, a left-side arm member, and a right-side arm member, the left-side arm member and the right-side arm member coupled to the basal locating member, on a left and a right side of the basal locating member, respectively.
In one embodiment of the invention, one or more bracing members are pivotably coupled to the foot locating member through first apertures provided in upper portions of the left-side arm member and the right-side member, respectively, the first apertures aligning with second apertures provided in lower portions of the one or more bracing members.
In one embodiment of the invention, the foot locating member is embodied as a wearable shoe.
In one embodiment of the invention, the one or more bracing members are pivotably coupled to the wearable shoe, through first apertures provided in upper portions of a left-side quarter portion and a right-side quarter portion of the wearable shoe, respectively, the first apertures aligning with second apertures provided in lower portions of the one or more bracing members.
In one embodiment of the invention, the offloading device further includes an insole member including an insole anterior portion and an insole posterior portion. Furthermore, the foot locating member is fastened to the insole member along a periphery of the insole member, with a predefined clearance between ground and at least the insole posterior portion.
In one embodiment of the invention, the offloading device further includes an insole member including an insole anterior portion and an insole posterior portion. Furthermore, the foot locating member is fastened to the insole member along a periphery of the insole member, with the insole member being in contact with the ground and made from a deformable material.
In one embodiment of the invention, the fastening arrangement includes a plurality of belts and/or a plurality of straps.
In one embodiment of the invention, the plurality of belts and/or the plurality of straps are provided with one or more a loops and hooks fastening arrangement, a buckle pin and holes fastening arrangement, and a spring-loaded friction buckle fastening arrangement.
According to a second aspect of the present invention, there is provided an offloading device for supporting an ankle joint of a user. The offloading device includes a foot locating member configured to locate therewithin a foot of the user. Furthermore, the offloading device includes one or more bracing members pivotably coupled to the foot locating member on a left side and a right side of the foot locating member, the one or more bracing members configured to grasp a portion of a lower leg that is located above the ankle joint. The offloading device further includes one or more liner pads provided on inner surfaces of the one or more bracing members, wherein the one or more liner pads are configured to make contact with skin of the user. Also, the offloading device includes a fastening arrangement configured to fasten the one or more bracing members to the portion of the leg that is located above the ankle joint. Furthermore, the foot locating member comprises a basal locating member made from a rigid material, a left-side arm member, and a right-side arm member, the left-side arm member and the right-side arm member coupled to the basal locating member, on a left and a right side of the basal locating member, respectively. Also, the one or more liner pads are made from a deformable material coated with a contact material, static coefficient of friction of the contact material ranging from 0.4 to 1.0, and kinetic coefficient of friction of the contact material ranging from 0.3 to 0.8.
In one embodiment of the invention, one or more bracing members are pivotably coupled to the foot locating member through first apertures provided in upper portions of the left-side arm member and the right-side member, respectively, the first apertures aligning with second apertures provided in lower portions of the one or more bracing members.
In one embodiment of the invention, the offloading device further includes an insole member provided above an upper surface of the basal locating member, the insole member including an insole anterior portion and an insole posterior portion, wherein at least the insole posterior portion is configured to undergo deformation within a predetermined range.
In one embodiment of the invention, the insole member is in contact with and bonded to the basal locating member, along entire length of the basal locating member, the insole member being made from a deformable material.
In one embodiment of the invention, at least the insole posterior portion is suspended from the left-side arm member and the right-side arm member.
In one embodiment of the invention, the fastening arrangement includes a plurality of belts and/or a plurality of straps.
According to a third aspect of the present invention, there is provided an offloading device for supporting an ankle joint of a user. The offloading device includes a foot locating member configured to locate therewithin a foot of the user. The offloading device further includes an insole member fastened to the foot locating member, the insole member including an insole anterior portion and an insole posterior portion, wherein at least the insole posterior portion is configured to undergo deformation within a predetermined range. Furthermore, the offloading device includes one or more bracing members pivotably coupled to the foot locating member on a left side and a right side of the foot locating member, the one or more bracing members configured to grasp a portion of a lower leg that is located above the ankle joint. The offloading device also includes a fastening arrangement configured to fasten the one or more bracing members with the portion of the lower leg that is located above the ankle joint. Furthermore, the foot locating member is embodied as a wearable shoe.
In one embodiment of the invention, the foot locating member is fastened to the insole member along a periphery of the insole member, with a predefined clearance between ground and at least the insole posterior portion.
In one embodiment of the invention, the foot locating member is fastened to the insole member along a periphery of the insole member, with the insole member being in contact with the ground and made from a deformable material.
In one embodiment of the invention, the one or more bracing members are pivotably coupled to the wearable shoe, through first apertures provided in upper portions of a left-side quarter portion and a right-side quarter portion of the wearable shoe, the first apertures aligning with second apertures provided in lower portions of the one or more bracing members.
In one embodiment of the invention, the offloading device further includes one or more liner pads provided on inner surfaces of the one or more bracing members, wherein the one or more liner pads are configured to make contact with skin of the user, wherein the one or more liner pads are made from a deformable material coated with a contact material, static coefficient of friction of the contact material ranging from 0.4 to 1.0, and kinetic coefficient of friction of the contact material ranging from 0.3 to 0.8.
In the context of the specification, the terms “polymer” or “plastic” refer to a material made up of long chains of organic molecules (having eight or more organic molecules) including, but not limited to, carbon, nitrogen, oxygen, and hydrogen as their constituent elements. The term polymer is envisaged to include both naturally occurring polymers such as wool, and synthetic polymers such as polyethylene and nylon.
In the context of the specification, the phrase “flexure hinges” refers to joints that are also known as “compliant mechanisms”, “compliant hinges” or “elastic hinges”, and are specialized components designed to permit controlled, limited rotation between two rigid bodies, about a specific axis while resisting movement in other directions. The controlled, limited rotation is achieved by using flexible elements (such as flexible sections with relatively smaller cross-sections than the bodies joined through the flexure hinges) instead of traditional rigid hinges. For example, flexure hinges may be generated by incorporating notches in a continuous piece of material to concentrate bending forces and create a well-defined pivot point.
The accompanying drawings illustrate the best mode for carrying out the invention as presently contemplated and set forth hereafter. The present invention may be more clearly understood from a consideration of the following detailed description of the preferred embodiments taken in conjunction with the accompanying drawings wherein like reference letters and numerals indicate the corresponding parts in various figures in the accompanying drawings, and in which:
Embodiments of the present invention disclosure will be described more fully hereinafter with reference to the accompanying drawings in which like numerals represent like elements throughout the figures, and in which example embodiments are shown.
The detailed description and the accompanying drawings illustrate the specific exemplary embodiments by which the disclosure may be practiced. These embodiments are described in detail to enable those skilled in the art to practice the invention illustrated in the disclosure. It is to be understood that other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the present disclosure. The following detailed description is therefore not to be taken in a limiting sense, and the scope of the present invention disclosure is defined by the appended claims. Embodiments of the claims may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein.
Embodiments of the present invention provide an offloading device for supporting an ankle joint of a user. The offloading device includes a locating member (also referred to as “the foot locating member”) to locate therewithin the foot of the user. The locating member may be embodied as a rigid basal member with sidearms coupled thereto or may be embodied as a wearable shoe. Although not bindingly, an insole member may also be provided. The insole member may be fastened to the locating member to provide a cushion to the foot of the user. In several embodiments, the insole member may be a relatively thicker deformable member made from a deformable material such as foam. In several alternate embodiments, the insole member may be suspended through the lateral surfaces of the locating member, through stretchable or elastic fabric materials attached to the lateral surfaces of the locating member. The lateral surfaces may include left-side and right-side arm members in the embodiments including the rigid basal member, left-side and right-side quarter portions, a midsole member, or an outsole member in embodiments where the locating member has been embodied as a wearable shoe. The deformation of the insole member is envisaged to accommodate the bearing of the weight of the user by the offloading device, and also any extension in muscles and/or skin in the lower leg of the user during the acts of walking, running, jumping, etc.
Furthermore, one or more bracing members may be coupled to the locating member. The bracing members may be coupled to the locating member in such a manner that at least a relative rotation may be enabled between the bracing members and the locating member. In that regard, the one or more bracing members and the locating member may be coupled pivotably through holes/slots and pins, or hinge joints. In several alternate embodiments, the locating member and the one or bracing member may form a unitary structure and relative rotation may be enabled through flexure hinges. In several embodiments, through the provision of oblong slots, relative translation may also be possible between the bracing members and the locating member for height adjustment of the offloading device.
Inner surfaces of the bracing members may be provided with liner pads that would eventually be making contact with the lower leg of the user, in a region above the ankle joint. In that regard, the liner pads may be made from a deformable material, such as Neoprene, and may further be coated with a contact material with relatively high coefficients of friction, such as silicone materials. For example, the static coefficient of friction of the contact material may vary between 0.4 and 1.0 and the kinetic coefficient of friction of the contact material may vary between 0.3 and 0.8, with end values included in both cases.
The deformable material of the liner pads would provide sufficient cushion to the lower leg to not restrict the blood flow, whereas the high coefficients of friction of the contact material would provide enough grip for the calf muscles (See
Several embodiments of the offloading device will now be discussed in detail with references to
The right-side arm member 224 and the left-side arm member 226 may be molded as a unitary structure with the basal locating member 222 or may be made separately from the same or different materials and attached to the basal locating member 222 using material joining methods, such adhesive bonding, welding, soldering, brazing, etc. Furthermore, some flexure in right-side 224 and the left-side 226 arms members may be desirable to accommodate for plantar and dorsi flexion when the user is walking. A person skilled in the art would appreciate that the construction of the foot locating member 202 is not limited to the one shown in
The device 200 further includes an insole member 204 fastened to the foot locating member 202. In
Furthermore, the device 200 includes one or more bracing members 206 and 208. The one or more bracing members 206 and 208 include a right-side bracing member 206 and a left-side bracing member 208. In several alternate embodiments of the invention, the right-side bracing member 206 and the left-side bracing member 208 may be combined as a unitary structure either covering the calf muscles of the lower leg of the user or covering the shin bone of the user. In several embodiments of the invention, the one or more bracing members 206 and 208 may be made from a rigid material selected from the group of possible materials for the basal locating member 222. The one or more bracing members 206 and 208 are configured to grasp, on the right side and the left side, a portion of the lower leg of the user, which is above the ankle joint.
Furthermore, the one or more bracing members 206 and 208 are pivotably coupled to the foot locating member 202.
One or more liner pads 210 and 212 may be provided on inner surfaces 207 and 209 of the one or more bracing members 206 and 208, respectively. The one or more liner pads 210 and 212 are configured to make contact with the skin of the user, in the portion of the lower leg that is located above the ankle joint of the user. In that regard, the one or more liner pads 210 and 212 may be made from a deformable material and coated with contact material with high static and kinetic coefficients of friction. The deformable material may be selected from a group consisting of neoprene, isoprene, silicones, polyurethane, spandex, etc. The contact material may further be skin friendly in addition to having high coefficients of friction, for example, silicone elastomers, hydrogels, and thermoplastic polyurethanes. It is further desirable, that the static coefficient of friction of the contact material ranges from 0.4 to 1.0, and the kinetic coefficient of friction of the contact material ranges from 0.3 to 0.8 for better grip and offloading of reactionary ground forces to the lower portion of the leg located above the ankle joint.
On tightening the fastening arrangement 410, the one or more liner pads 210 and 212 grasp the skin of the portion 402. When a user walks, runs, jumps, etc. the reactionary force applied by the ground is transferred through the foot locating member 202, the one or more bracing members 206 and 208, and the one or more liner pads 210 and 212, to a great extent to gastrocnemius (calf), soleus, and anterior tibialis muscles (See
On tightening the fastening arrangement 410, the one or more liner pads 210 and 212 grasp the skin of the portion 802. When a user walks, runs, jumps, etc. the reactionary force applied by the ground is transferred through the foot locating member 202 (or the wearable shoe 602), the one or more bracing members 206 and 208, and the one or more liner pads 210 and 212, to a great extent, to gastrocnemius (calf), soleus, and anterior tibialis muscles (See
Various modifications to these embodiments are apparent to those skilled in the art, from the description and the accompanying drawings. The principles associated with the various embodiments described herein may be applied to other embodiments. Therefore, the description is not intended to be limited to the embodiments shown along with the accompanying drawings but is to provide the broadest scope consistent with the principles and the novel and inventive features disclosed or suggested herein. Accordingly, the invention is anticipated to hold on to all other such alternatives, modifications, and variations that fall within the scope of the present invention and appended claims.
Number | Date | Country | |
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63441783 | Jan 2023 | US |