The invention relates to a prosthetic wrist having a base for fastening to a proximal prosthesis component and a pivot part which is mounted on the base in such a way that it can pivot about a pivot axle, having at least one fastening device for securing a distal prosthesis component or prosthetic hand to the pivot part, wherein at least one catch segment with form-fit elements arranged thereon is arranged on the pivot part, and at least one locking element is mounted on the base in such a way that it can be longitudinally displaced along the pivot axle, wherein the locking element can be brought from a locked setting, in which the locking element is in engagement with a form-fit element of the catch segment, against a spring force into a release setting.
Prostheses replace limbs which are not present or no longer present. Prosthetic joints connect two components of a prosthetic device and allow these prosthesis components to pivot in relation to one another. Prosthetic joints in which two prosthesis components can be blocked from pivoting with respect to each other are known from the prior art. Depending on the construction of the prosthetic joints, the blocking or release takes place in different ways. If for example a resistance device, for example a hydraulic damper, is arranged between a joint upper part and a joint lower part, the relative movement between the upper part and the lower part may be achieved by blocking the hydraulic line. Another method of blocking and release takes place in the case of simple uniaxial joints by means of mechanical locks, with which the joints are fixed in their respective angular setting with respect to one another. If the lock is released and the distal prosthesis part is in an unlocked state, it is in general freely mobile. In prosthetic wrists, this may lead to the prosthetic hand being lowered or dropping in the direction of gravity.
DE 10 2006 020 777 B4 discloses a prosthetic wrist having a base and a coupling element assigned to the base for fastening to a body member or a prosthesis part and having a device for receiving a prosthetic hand, which device is connected to the base in such a way that it can pivot about at least one axle, with a locking device blocking the receiving device in relation to the base. A retaining element is resiliently prestressed against the receiving device and applies a holding force to the latter after the locking device is unlocked. The receiving device has latch elements into which the retaining element engages in a locked setting.
It is an object of the present invention to provide a prosthetic wrist that has a stable, robust and compact structure and provides increased flexibility for the user.
This object is achieved by a prosthetic wrist having the features of the main claim. Advantageous configurations and developments of the invention are disclosed in the dependent claims, the description and the figures.
The prosthetic wrist having a base for fastening to a proximal prosthesis component and a pivot part which is mounted on the base in such a way that it can pivot about a pivot axle, having at least one fastening device for securing a distal prosthesis component or prosthetic hand to the pivot part, wherein at least one catch segment with form-fit elements arranged thereon is arranged on the pivot part, and at least one locking element is mounted on the base in such a way that it can be longitudinally displaced along the pivot axle and can be brought from a locked setting, in which the locking element is in engagement with a form-fit element of the catch segment, against a spring force into a release setting, provides that the locking element has two release regions with which a first and a second release setting are implemented, that the first release region is arranged spaced apart from the second release region in the displacement direction, and that a catch element that holds the locking element in the second release setting is assigned to the second release region. By configuring the longitudinally displaceable locking element with two release regions, it is possible to bring the prosthetic wrist in a plurality of release settings into the release setting starting from the locked setting in which the locking element is in engagement with one of the form-fit elements of the catch segment. The spring force that acts against a shifting of the locking element from the locked setting into the release setting is applied by a spring element that is in engagement with the locking element. The locking element is displaced from the locked setting against the spring force into a first release setting along the direction of the longitudinal orientation of the pivot axle, until the first release region is positioned in such a way that the first release setting is obtained. In the first release setting, the pivot part can pivot relative to the base so that, for example, the prosthetic hand can be shifted from a neutral setting into an angled setting. If the actuation force against the spring force is then reduced or terminated, the locking element returns into the locked setting so that the prosthetic wrist remains in the adjusted setting and is locked therein with a form fit. If the locking element is moved into its second release setting, a catch element latches with the locking element or enters into engagement with the locking element, so that the catch element holds the locking element in the second release setting. In the second release setting, there is likewise no form-fit locking of the locking element with the catch segment, so that the pivot part has free or almost free mobility about the pivot axle. In addition, the locking element is permanently held by the catch element in the second release setting so that the prosthetic wrist is permanently freely mobile or almost freely mobile. This is advantageous, for example, when a prosthetic hand is placed flat on a table surface, when shaking hands or when patting on the back, since the wrist then appears to be acting naturally.
In one configuration, the locking element can be displaced from the first release setting into the second release setting against the spring force, so that the two release settings are arranged successively in the same displacement direction. The locking element is pushed from the release setting back into the locked setting by the spring force if the catch element is not, or no longer, in engagement and the reverse movement into the locked setting is blocked. It is thereby possible to configure the spring element for applying a spring force for example only as a compression spring, when the locking element is intended to be moved from the locked setting against the spring force into the release setting. Alternatively, it is possible that the first release setting requires displacement in a first displacement direction and the second release setting requires displacement of the locking element in the opposite direction. For this purpose, either two spring elements or one spring element which is configured as a tension spring element and compression spring element are provided.
In one configuration of the prosthetic wrist, the spring force against displacement into the second release setting is greater than the spring force against the displacement into the first release setting. The resistance behavior for a particular predetermined displacement path of the locking element from the locked setting into the first release setting lies at a first level, while the subsequent displacement path or the displacement path in the opposite direction entails a second resistance and requires a correspondingly increased restoring force, which is greater than the first resistance. Advantageously, the transition from the first resistance level to the second resistance level is significant, so that tactile feedback is provided during the actuation of the locking element.
In one configuration, the spring force against displacement into the second release setting at the start of the second release region is significantly greater, in particular 10% greater, than the spring force against the displacement of the first release region at the end of the first release setting.
In one configuration, the locking element is braced in relation to the base by means of at least one spring element against displacement into a release setting. The spring element may be configured in two stages, with a stepped or progressive spring characteristic, in order to provide the tactile difference in the displacement force to be applied against the spring prestress. Instead of this or in addition, a plurality of spring elements may be arranged in the displacement direction of the locking element in such a way that they can be brought successively into engagement, so that after the first release region has been reached, there is abruptly an increased resistance against displacement into the second release region by inter-engagement of a further spring element or further spring elements. In the case of a contrary movement in order to move the locking element from the locked setting into the first or second release setting, different spring strengths or resistances may be provided against displacement in the respective displacement direction. The resistances in the spring force preferably have a difference of more than 10% from one another in order to provide a clearly perceptible distinction between the release regions. The second release setting and the second resistance characterize the setting in which unlocking has taken place and pivoting about the pivot axle is possible, optionally against the restoring force that is applied by means of spring elements or elastomer elements. At this second, increased resistance level, when a corresponding position of the locking element has been reached, at least one catch element is brought into engagement or activated, so that restoring by the spring element into the first release setting or the locked setting is prevented.
The locking element may be assigned two actuation elements lying opposite one another in the displacement direction, so that the locking element can be displaced easily in both displacement directions along the longitudinal extent of the pivot axle.
Actuation into the first and second release settings as well as back from the second, locked release setting into the first release setting or locked setting is therefore readily possible.
In one configuration, two parallel-oriented locking elements are mounted on the base on either side of the pivot axle. The double configuration of the locking elements on either side of the pivot axle provides a reliable high catch function because of two catch axles with a comparatively high lever action with respect to the pivot axle.
The release regions of the locking element are configured in one configuration as flats or reductions in diameter of the locking element. In the region of the flats or reductions in diameter of the locking element or locking elements, the catch segments can pivot past the locking element.
In order to enable easy pivotability and functional capability in all settings, in one configuration the catch element is configured in the form of a circle segment and is fastened to or integrally formed on the pivot part.
A plurality of catch elements may also be fastened to or formed on the pivot part while being spaced apart from one another, in particular spaced apart from one another along the longitudinal extent of the pivot axle, in order to ensure reliable locking and uniform force absorption and force transmission.
In one configuration, the catch element is spring-loaded in the direction of the locking element, so that the catch element is latched or enters into engagement with the locking element automatically after the second release setting or the second release region has been reached, the locking element in one embodiment having a form-fit component, into form-fitting engagement with which the catch element can be brought.
The pivot part may be mounted on the base in such a way that it can pivot against a spring force, in order to be able to provide a certain restoring force into an initial position even in a release setting.
The pivot part may be held in an initial setting by means of at least one spring component acting in opposite directions, in particular by means of two oppositely acting spring components, or may be exposed to oppositely acting spring forces that move the pivot part in the direction of an initial setting or exert a force in the direction of the initial setting.
The spring components for applying a spring force in the direction of an initial setting may be arranged in recesses on the base or the pivot part, in particular the catch segment, and may be braced on abutments on the respectively opposite element. If the spring components are arranged in recesses on the base, the abutment is arranged on the pivot part, in particular the catch segment, and if the recesses are configured in the pivot part, particularly in a catch segment, the abutment on which the respective spring component is braced is arranged or formed on the base. The respective abutment may be configured as a bushing which is secured to the pivot part, in particular the catch segment, or to the base.
In one development, the spring component is assigned a stop on which the spring component bears, particularly in a prestressed state. The abutment bears on the spring component in a predetermined setting, for example in a neutral setting, and is arranged on the pivot part or the base in such a way that it can be shifted away from the stop by the spring component. The initiation force for pivoting from the neutral setting may thereby be adjusted, in particular increased, in order to achieve a stable setting.
Exemplary embodiments of the invention will be explained below with the aid of the figures, in which:
Two locking elements 40 in the form of longitudinally displaceable rods or bolts are mounted on the base 10 in the mounting blocks 11. The two locking elements 40 are aligned parallel to one another and run parallel to the longitudinal extent of the pivot axle 30. Actuation elements 70 in the form of pressure plates are arranged on the two end sides of the locking elements 40 and are connected to the locking elements 40 by means of screws. The locking elements 40 are braced in relation to the base 10 by means of a spring element 60 or a plurality of spring elements, so that shifting and displacement of the locking elements 40 takes place inside channels, which are formed in the base, against a spring force or a prestress.
The locking elements 40 in the embodiment represented are configured in the form of rods and have a substantially round cross section. Formed along the longitudinal extent of the locking elements 40, there are flats or reductions in diameter which can be brought into alignment with the respective catch segments 22 in the respective settings. The functionality will be explained below. The regions with a larger diameter are in engagement in a catch setting with the form-fit elements 23 on the catch segments 22. If the locking elements 40 are displaced, the regions with a larger diameter are brought out of engagement with the form-fit elements 23 so that the regions with the smaller diameter or with the material recesses lie opposite the form-fit elements 23. In the exemplary embodiment represented, two release regions 41, 42 for each catch segment 22 are formed on the respective locking element 40. The two release regions 41, 42 are divided into a first release region 41 and a second release region 42. The first release region 41 overlaps with the form-fit elements 23 of the respective catch segment 22 in a first release setting. This is directly followed by the second release region 42 in the axial displacement direction behind the first release region 41. In both release settings 41, 42, the locking elements 40 do not block the pivoting of the pivot element 20 about the pivot axle 30. In addition, a form-fit component 45 in the form of a circumferential groove is formed on the locking elements 40, which is arranged in such a way that a catch element 50 can enter into engagement with the form-fit component 45 in the second release setting and only in the second release setting. The catch element 50 is configured in the exemplary embodiment represented as a sphere, which is mounted inside the base 10 in a bore while being prestressed in the direction of the respective locking element 40 by means of a spring 55. The form-fit component 45 is formed at a distance from, and separated from, the release regions 41, 42 on the respective locking element 40.
In the assembled state, the catch elements 50 are in abutment on the locking elements 40 under prestress by the spring element 55. Since the two locking elements 40 oriented substantially parallel to one another are spaced apart equally on either side from the projection of the pivot axle 30 and the outer diameter outside the release regions 41, 42, and the form-fit component 45 enters into engagement with the protrusions of the form-fit elements 23, the pivoting movement of the pivot element 20 relative to the base 10 is blocked. The increased diameter regions or catch regions of the locking elements 40 can be displaced along the form-fit elements 23 or the recesses on the outer circumference of the catch elements 22 in the longitudinal direction against the spring force due to the spring 60. The prosthetic wrist in an initial setting is therefore in a catch setting or locked setting and is unblocked by pressing onto an actuation element 70 against the spring force 60. For this purpose, the locking elements 40 are shifted against the spring force 60 out of the catch setting or locked setting into a release setting. In the first release setting, it is possible for the pivot part 20 to pivot relative to the base 10 about the pivot axle 30. The pivot axle 30 is secured by means of a grub screw inside the mounting blocks 11 against rotation and against axial movement. In one alternative, the pivot axle 30 is configured in two parts, each half-axle being secured on each side by a grub screw. The pivot part 20 is mounted on mounting bushings on the pivot axle 30.
Recesses 28, which are respectively opened outward in the direction of the mounting blocks 11, are arranged on the outer sides of the catch elements 22. The recesses 28 are configured in the form of circle segments, for example semicircularly, and respectively receive a spring component 80. In the exemplary embodiment represented, the spring components 80 are configured in one piece and are formed as elastomer elements in a manner corresponding to the shape of the recess 28. The respective spring component 80 is braced in relation to the base 10 on abutments 18, which are arranged on opposite sides of the pivot axis 30 and are fixed to the base 10 on the mounting blocks 11 by means of screws or axles. During pivoting in the one direction starting from an initial setting, one spring component 80 is compressed, and the other is respectively compressed during pivoting starting from the initial setting in the other direction. Only one spring component 80 at a time is therefore compressed relative to the initial setting during pivoting from the initial setting. The spring components 80 may be configured in such a way that there is a basic stress, so that even in a release setting pivoting about the pivot axle 30 is possible only after overcoming a predetermined, preferably adjustable spring force.
As an alternative to the embodiment represented, the corresponding recess for the spring component 80 may also be formed in the mounting block 11 of the base, the abutment then being arranged or formed on the respective catch segment 22. The recesses 28 are covered outwardly by means of cover disks 81, in particular stainless steel disks. Links are formed inside the cover disks 81, so that the axles or pins, which lead from the mounting blocks 11 to the bushings as abutments 18, do not impede pivoting of the cover disks 81 with the pivot element 20.
By the spring components 80, it is possible to achieve a resilient initial setting or null setting. The counter-sense arrangement of the spring components 80 allows a uniform or different counter-force against pivoting from the initial setting. Besides protection against contamination, the cover disks 81 also serve to limit the volume of the recesses 28 so that, during a deformation of the spring components 80 configured as elastomer components, the latter are not pressed out of the recesses 28. Furthermore, the cover disks 81 serve to compensate for play. As an alternative to configuring the spring components 80 as elastomer elements, they may also be configured as coiled springs or spiral springs. The mounting of the elastomer components, in particular the semilunate elastomer elements, in correspondingly shaped recesses may be used even without the locking elements 40 with the release regions 41, 42 and the retaining or fixing in the second release setting, and is a further aspect of the invention that may also be pursued independently and separately.
The form-fit elements 23 in the exemplary embodiment are configured in the form of circle segments and define latch settings in which the orientation of the pivot part 20 relative to the base 10 may be secured. The locking elements 40 are advantageously configured so as to be round in cross section in the engagement regions, which leads to better surface pressure in the catch setting. It may be seen in
If permanent release and pivotability against the spring components 80 is desired, a further displacement of the locking elements 40 to the right is carried out until the catch elements 50 latch into the form-fit components 45. This is represented in
In order to make the transition from the first release region to the second release region perceptible for the user, a plurality of spring elements 60 may be provided, which enter into engagement successively so that an abrupt and perceptible increase in the resistance force occurs against displacement from the first release region into the second release region.
In order to achieve greater stability of the pivot part 20 relative to the base 10, it is possible to dissipate and therefore neutralize the force of a spring component 80 only beyond a defined angle in the pivot part 20. A significantly higher restoring force may thereby be provided even with small deflections from the neutral position. A higher force is therefore required in order to deflect the pivot part 20 from the neutral position, or the prosthetic hand relative to the socket. This is achieved by the prestressed spring component 80 being provided with a high prestress in the respective active direction by means of the dog 88 and the abutment 18 being capable of being brought out of contact with the dog 88 in the opposite direction. The arrangement of a dog 88 has some advantages, it being for example possible that different materials may be employed by means of the separate dog 88. The dog 88 may be configured to be substantially stiffer or more rigid than the spring component 80, so that improved and more precise force transmission can take place from the base 10 via the abutment 18 onto the spring component 80. Both the abutment 18 and the dog 88 may consist of metal or a hard plastic, so that no deformation occurs upon contact of the abutment 18 with the dog 88. Furthermore, it is possible to adjust the spring retention of the spring components 80 by means of the replaceable dog 88. The larger the dog 88 is, the higher the compression and therefore the prestress of the spring components 80 are. In principle, it is however also possible to form the dog 88 as part of the spring component 80, or to configure the spring component 80 in such a way that the abutment 18 can be brought out of engagement with the spring component 80 by the spring component 80 bearing on the stop 288.
In
Number | Date | Country | Kind |
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10 2021 130 659.0 | Nov 2021 | DE | national |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2022/082272 | 11/17/2022 | WO |