This application claims priority to German application 10 2007 015 560.5, filed Mar. 29, 1007, entitled PROSTHESEN-ODER ORTHESENGELENK, which is herein incorporated by reference in its entirety.
The invention relates to a prosthetic or orthotic joint with first and second joint segments that are mounted rotatably to each other around a joint axis, and a pivotal piston that is arranged on the first or second joint segments and is guided in a displacement chamber containing a fluid.
The invention is particularly well suited for control of the movements of a knee joint or of a foot joint. But in principle, other areas of application in orthotics and prosthetics are conceivable, for example in the case of hip joint prostheses or orthoses.
From the prior art, so-called rotation hydraulics are known in which the joint parts of a prosthesis or orthosis are rotationally connected with each other and a pivotal piston subdivides a displacement chamber into two partial chambers. The partial chambers are connected with each other via two throttle non-return valves connected in parallel and acting in opposite directions.
In this context, changes of the flow section of the connecting channel can be accomplished from the outside via an axially movable throttle rod so that the fluid, in particular hydraulic oil, can flow during a flexion or extension movement from one partial chamber into the other partial chamber, but at a higher flow resistance. Such a joint mechanism is described in DE 43 38 946 C1. A change of the section of the connecting channel can be accomplished as a function of an axial force that occurs, for example, when one shifts one's weight to one foot. This requires an axially movable mounting of a throttle rod.
Conventional rotation hydraulic systems have a damping effect that is constant. In the event of a higher energy supply into the damping device, for example as a consequence of a faster pace, a larger flexion or extension will result. The desired flexion angle or extension angle will therefore be exceeded.
The objective of the invention at hand is to provide a prosthesis or orthosis joint with which an adjustable damping of the rotation movement can be achieved in a simple manner.
A prosthetic or orthotic joint in accordance with the invention has at least two joint parts or segments, such as upper and lower parts, that are mounted rotatably to each other around a joint axis. A pivotal piston is arranged in a torque-proof fashion on the upper or lower parts of the joint and is guided in a displacement chamber containing a fluid. The pivotal piston subdivides the displacement chamber into two partial chambers that are connected with each other at least across a connecting channel that is a selected deviation angle range of the pivoting piston. Between the pivoting piston and the displacement chamber at least one flow section determining contour is formed that is connected in fluidic fashion with the connecting channel and the displacement chamber via a selected, set or predetermined rotation angle, which, dependent on the angle position of the pivoting piston, provides a varying free flow section for the passage of the fluid.
The prosthesis joint or, respectively, the orthosis joint in accordance with the invention makes it possible to alter the fluid or oil flow during the movement of the joint parts relative to each other, for example the upper part relative to the lower part of the joint. Dependent on the rotational position of the joint, i.e. during the movement, a fluid stream from one partial chamber into the other partial chamber is provided which is modified depending on the position of the joint and thus of the pivotal piston. By changing the free flow section for the fluid through the contour between the pivotal piston and the displacement chamber walls, for example through a channel in the pivotal piston and/or in the displacement chamber, it is possible to provide angle-dependent damping in a simple fashion. As a result, a rotation hydraulic system is realized within the joint that provides higher damping at a certain rotational position.
A further development of the invention provides that between the displacement chamber and the pivotal piston two contours are formed or, respectively, provided that are allocated to the respective junctions of the connecting channel. As a result, a fluid stream can flow into the partial chamber in the direction of the extension as well as in the direction of the flexion via the junctions of the connecting channel and the contour within the pivotal piston or the displacement chamber. This makes it possible to provide flexion-angle dependent, changeable damping effects both in the extension direction and in the flexion direction, since the free flow section for the passage of the fluid is changed separately. Varying contours are provided for extension and flexion in order to provide varying damping effects that are variable across the angle range of the rotation. As a result, a pivoting angle dependent and pivoting direction dependent change of the damping effect can be provided by building in the contours or channels into the pivoting piston or into the housing that forms the displacement chamber.
One embodiment of the invention provides for the contour or the channel to be built into one axial plane of the pivotal piston. In the case of several contours or channels, it is provided that they are built into the axial plane of the pivotal piston separately from each other, for example by milling or grinding the contour or contours or, respectively, the channel or channels into the axial plane of the pivotal piston, so that a basic form of a damping curve can be determined in a simple manner. The axial plane of the pivotal piston is the surface that is not designed as a piston plate and that is essentially formed as a circular cylinder. The axial plane slides on a correspondingly formed contour of the displacement chamber and seals the partial chambers against each other on the side of the pivotal piston lying opposite the piston plate. Alternatively or supplementarily to a contour in the axial plane, the latter may also be formed in the displacement chamber or, more precisely, in the wall of the housing forming the displacement chamber and allocated to the axial plane. As a result, a basic damping effect, for example, is provided by the contour in the displacement chamber that is modified by the installation of an adjustable pivotal piston that is adjusted to the requirement of the user of the prosthesis or of the orthosis.
In one variant of the invention, the contour may overlap, to a varying degree, the junction of the connecting channel depending on the rotational position of the pivoting piston, i.e., it may reduce or prevent the flow into the contour by partially or completely closing the junction. In that case, the contour will not overlap the junction during the entire rotation movement during which a fluidic connection exists between the connecting channel and the contour. Instead, a limited cross section of the junction is made to overlap the flow channel formed by the contour, thereby providing a change of the free flow section at the interface between the contour and the junction. In the case of a radially aligned junction and a contour arranged or formed in the direction of the circumference, the changing overlap is achieved by an axial relocation of the contour. In the case of an axial arrangement of the junction, the change is produced by a corresponding spiral shaped arrangement and formation of the contour or of the channel for a partial overlapping and change of the effective flow section.
One further development provides for the contour or the channel to be made to completely overlap the junction for a predetermined rotation angle range. The contour or channel bases are then at different distances to the junction dependent on the rotational position of the pivotal piston. The greater the distance between the contour or channel base and the junction, the greater the free flow section. If the contour base is moved very close to the junction, the flow section decreases in the transition area, such that only a small amount of fluid can pass this bottle neck which will lead to an increased damping effect. The advantage of such an arrangement, in the case of a radially aligned junction, lies in the fact that the channel or the contour may be formed in a straight line; only the depth of the milling of the contour or of the channel will be changed in order to make different damping rates available. Such a design may also be combined with a channel contour or a channel course that will alter the cross section of the section and the degree of overlapping of the junction.
In principle, it is possible that several junctions of the connecting channel with the partial chambers are present; in particular, two junctions may be present in each partial chamber through which the fluid can flow from one partial chamber through the connecting channel into the second partial chamber. The additional junctions may be arranged in a series or parallel to the junctions connected to the contour and/or contours or the channel and/or channels in order to be able to provide a coordinated damping effect.
For the adjustment of the damping effect, it is provided that at least one non- return valve is arranged in the connecting channel. Preferably, several non-return valves are arranged for flexion and extension that do not interfere with each other, making it possible to provide a corresponding control of the damping effect for both directions of movement.
In addition, there is the possibility that at least one control valve is built into the connecting channel in order to generate high damping values across the entire range of movements, particularly in flexion and/or bending directions, which are generated independently of the contour and the damping effect of the channels in the pivotal piston. The damping may be canceled almost completely by means of the control valve in order to achieve a minimal damping effect that is independent of the rotational position, for example when bicycling.
In order to be able to preset a basic damping level, at least one adjustable throttle is built into the connecting channel. This throttle is preferably adjustable from outside of the joint, in order to be able to perform an adjustment of the prosthesis or orthosis joint by the respective joint user.
With an arrangement of the contours or channels in the axial plane of the pivotal piston, the path or, respectively, the angle adjustability is limited by the length of the sealing surface. In the case of rotation hydraulics, this is the surface that rests directly on the axis of rotation. If the desired pivoting angle at which the damping effect is to be varied doesn't create a connection between the two partial chambers, the desired path or, respectively, the pivoting angle can be achieved through a parallel arrangement of several channels. In the case of a parallel arrangement, the first channel will then be shorter than the length of the sealing surface between the axial plane and the junction.
a is a variant of
In
In
Analogously to a possible flexion, it is provided that corresponding valves or throttles are present for an extension which also create a flowing connection of the two partial chambers 5a, 5b via the connecting channel 9.
An axial surface 63 within the pivotal piston 6 is the surface of the base body that is essentially formed cylindrically and which slides along a corresponding receptacle of the lower joint part 2. On one axial surface 63, contours in the form of channels are built in, of which one flexion channel 64 can be seen in
In
The channels 64, 65 are built into the radial circumference of the axial surface 63, preferably through milling, with the channels 64, 65 being designed straight in the embodiment shown, such that over the entire angular distance during which the channels 64, 65 lie opposite the respective allocated junctions 91, 92, they overlap the latter completely. As can be seen by way of the flexion channel 64, channel 64 has varying depths through which the free flow section is changed which are dependent on the rotational position of the pivotal piston 6 and thus of the upper joint part 1. In the area of the end of channel 64 facing away from the piston plate 7, the depth of the channel 64 approaches the axial surface 63 asymptotically and slowly tapers off, such that, from a predetermined rotational position which results from the length of the channel 64, the junction 92 is closed by the axial surface 63 which overlaps it in flush fashion. The flexion channel 64 does not extend across the entire circumference of the pivotal piston or, respectively, of the axial surface 63, but only across a minor part of the circumference, such that a fluidic connection of the connecting channel 9 with the corresponding partial chamber 5a, 5b is provided only for a partial section of the rotation. Alternatively, or supplementarily to a straight design of the channels, the latter may also be provided with an incline and extend spirally along the base body or, respectively, within the axial surface 63 in order to achieve a specific narrowing of the section of the junctions 91, 92.
In
A variant of the embodiment of the pivotal body 6 is shown in
A hydraulic circuit and the arrangement of additional valves or throttles is shown in
In the embodiment shown in accordance with
After the stance phase valve 20, the connecting channel 9 leads to a non-return valve 13 which blocks an extension movement. Parallel to that, a valve arrangement is arranged having parallel switched, counter directionally oriented non-return valves 14, 15 and, in each case, serially switched flexion and extension valves 17, 16. The two channels open out into junctions 92, 93.
The junctions 90, 91, 92, 94 do not necessarily have to be arranged at the walls of the displacement chamber 5 opposite the piston plate 7. It is also possible that the junctions 90, 93 are formed on the lateral, bent surface that lies opposite the distal end of the piston plate, such that the junctions 90, 93 are closed by the pivotal piston 6 from a selected position on, or that it is connected with the displacement chamber 5 via a channel that is not shown.
The start of the flexion movement is shown in
During an additional rotation of the pivotal piston 6, the axial surface 63 seals off the junction 92, as shown in
The damping during the extension movement is shown in
At the end of the extension, as indicated in
All throttle valves 16, 17, 18 may be designed to be presettable in order to allow for adjustment by the respective prosthetic or orthotic user, and the prevailing operating conditions. Preferably, the throttle valves 16, 17, 18 are adjustable from outside the connecting channel 9, making an easy adjustment possible at any time.
The fluid flow and thus the damping effect of the prosthetic or orthotic joint during the flexion, as well as during the extension, is determined or at least partially determined by the contour of the channels 64, 65 located in the pivotal piston 6. As a result, no elaborate motorized adjustment or a movable mounting of separate controlling devices are required. In principle, it is possible and provided that the contours 64, 65, 74 or the channels are designed as adjustable, for example via rotating bushings or adjustment elements that can alter the contour in axial or radial directions. In spite of the adjustability, if an adjustment has been done, the relevant rotation range or rotation angle in which the free flow section is influenced remains fixed.
An exemplary path of the damping level that is dependent on the flexion angle is shown in
Conversely, during an extension across almost the entire range, the fluid can flow through the junction 91 into the partial chamber 5b, thereby providing a low resistance due to a low damping effect. Only shortly before the end of the extension, i.e., in the proximity of the extension stop, the axial surface 63 increasingly closes the junction 91. The increase in the damping effect is provided through a continual narrowing of the flow section through contour 65 until the junction 91 is completely closed. Following a complete closure of the junction 91, a fluid flow occurs only by way of leakage flows. The basic damping effect of the extension is set via the extension throttle valve 14 in conjunction with the contour 65.
Number | Date | Country | Kind |
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102007015560.5 | Mar 2007 | DE | national |