The system relates to a sensorized upper limb exoskeleton, envisioned for rehabilitation and assistance of users affected by upper-limb impairments based on wearable robotic technology, and a passive shoulder-elbow module to assist the users and clinicians in providing feedback regarding kinematic and physiological data.
The disclosure relates to a sensorized exoskeleton system for assisting a user in exerting efforts configured to engage, when worn by the user, the mutually mobile parts of a joint of the user, and for providing anti-gravitational support at the level of the shoulder. The disclosure further relates to a sensorized exoskeleton system equipped with actuation elements, a sensory system, and an electronic processing and communication unit.
Wearable exoskeletons can assist patients in rehabilitation settings. An exoskeleton may be arranged to transfer loads placed on a user and reduce forces imposed on the body. Stroke patients may use exoskeletons in training settings and during Activities of Daily Living (ADL). There is an increased need for rehabilitation in an aging society, handled by clinical professions and physicians, and in combination with advanced robotic technology.
An exemplary exoskeleton system is arranged for the upper body, including the shoulder and arms, by enhancing performance by reducing forces at the shoulder (e.g., gravitational forces that urge the arms downward), and enabling the user to perform tasks that require shoulder elevation with less effort. The exoskeleton may assist the user in elevating and supporting the user's arms and reduce physical risks and discomfort from tasks carried out above chest height or overhead.
Current wearable exoskeleton robots do not provide a lightweight shoulder-elbow orthosis that offers anti-gravitational support and integrates with functional electrical stimulation (FES), digital twin technology, virtual reality (VR), and augmented reality (AR) systems that may be used in ADLs and rehabilitation tasks. Additionally, exoskeleton robots must be intrinsically safe in design and comply with safety regulations and standards. Existing wearable exoskeletons do not assist shoulder flexion and abduction movements and enable the user to set specific upper-limb configurations through movable robotic joints' end-stops.
Another issue ensures that the assistance provided by the exoskeleton system is commensurate with the user's particular needs and activities. Existing passive systems may provide static or non-dynamic assistive forces, poorly suiting specific movements, postures, or users. Different users may utilize exoskeleton systems in subsequent shifts. Still, existing exoskeleton systems are insufficiently adaptable to the user's specific dimensions, strength, and tasks, leading to poor compliance and poor results across different users. In addition, existing exoskeleton devices may be poorly adapted to allow a user to perform unrelated tasks and must be doffed if such tasks are to be comfortably and effectively executed.
Due to the variability and uncertainty of human movement, current robotic systems are not equipped to integrate with FES systems to provide appropriate assistance to patients as needed. Therefore, there is a need for exoskeletons to offer a full set of kinematic data from embedded sensors and to integrate the communication and control of FES systems to recognize the motor intentions of patients during rehabilitation.
There is a need for a sensorized upper-limb exoskeleton that can interface with FES, advanced cognitive systems, and VR/AR interaction programs to regulate the stimulation response of each muscle, provide cooperative control strategies, ensure safe and robust execution of interaction strategies, and adapt the system in real-time based on an assessment function in combination with a multimodal communication interface. Furthermore, there is a need for a sensorized passive upper limb exoskeleton that can deliver anti-gravitational support at the shoulder level, enable upper-limb configuration limits for shoulder and elbow ranges of motion, and read kinematic data. Additionally, there is a need for a sensorized upper limb exoskeleton equipped with electronic processing and communication means that support bidirectional communication with external systems.
The embodiments disclosed herein each have several aspects, no single one of which is solely responsible for the disclosure's desirable attributes. Without limiting the scope of this disclosure, its more prominent features will now be briefly discussed. After considering this discussion, and particularly after reading the section entitled “Detailed Description,” one will understand how the features of the embodiments described herein provide advantages over existing rehabilitation systems and exoskeleton devices.
The present disclosure provides a personalized robotics system and related method that may be used in the physical rehabilitation of stroke patients. The system combines a passive upper-limb exoskeleton with embedded sensors to provide a sensorized exoskeleton system. The system offers a lighter, portable exoskeleton in rehabilitation applications. The sensorized exoskeleton may be used at home to monitor the patient's practices in daily and routine training and during ADL tasks. Clinicians may use this information to plan personalized rehabilitation regimes that a patient may perform at home.
According to an embodiment, the passive upper-body exoskeleton is configured to be used in a sensorized exoskeleton system. The exoskeleton is lightweight and portable to enable monitoring in clinical settings and at home. The exoskeleton comprises a physical human-robot interface (pHRi), compensation device, shoulder kinematic chain, rotation cuff, elbow module, and on-board electronics that integrate with an electronic platform.
The pHRi and shoulder kinematic chain facilitate controlled, near-physiological shoulder and elbow range of motion. In one embodiment, the pHRi may be adjustable in length along a user's spine and may also feature a lockable linear guide for shoulder width adjustment. The pHRi features a posterior, horizontal strut that generally extends over a user's left and right scapulae and from a user's left shoulder to a user's right shoulder. The horizontal strut is connected to the linear guide for shoulder width adjustment. A vertical pivot frame is slidably anchored to the linear guide using screws or other fastening elements. The vertical pivot frame generally extends about a second shoulder axis of rotation from a posterior, medial portion of the horizontal strut to a laterally positioned free vertical pivot joint located above the shoulder of a user at a first shoulder axis of rotation. The vertical pivot frame is configured to be substantially vertical to avoid interference with the user to reduce encumbrances.
The free vertical pivot joint allows for movement on a transverse plane and is equipped with an encoder to determine the joint position about a first shoulder axis of rotation. A horizontal arm extends from the free vertical pivot joint and connects to a vertical arm via a lockable hinge. The hinge is used to identify and set the correct position of the shoulder kinematic chain on a user. The horizontal arm comprises a slot that adjusts the relative distance between the free vertical pivot joint at the first shoulder axis of rotation and the shoulder internal-external rotation joint, or rotation cuff, at a third shoulder axis of rotation. The horizontal arm rotates about the first shoulder axis of rotation. The free vertical pivot joint features a limiting torque knob that can fix the slot of the horizontal arm to the vertical pivot frame and to set the relative distance between the free vertical pivot joint at the first shoulder axis of rotation and the shoulder internal-external rotation joint at the third shoulder axis of rotation.
The shoulder kinematic chain also consists of a spring-loaded elevation joint that allows movement on the sagittal and frontal planes. The spring-loaded elevation joint has its center of rotation collocated with the second shoulder axis of rotation. The spring-loaded elevation joint is coupled with a spring-loaded mechanism, or elastic element, enclosed in the compensation device. The spring-loaded elevation joint is also equipped with an encoder to read joint positions about the second shoulder axis of rotation. The shoulder kinematic chain allows for the physical integration of a FES system and enables kinematics monitoring of the shoulder joint by means of a sensor apparatus. The shoulder kinematic chain does not include a collocated joint for arm adduction and abduction at the frontal plane and does not include a parallel remote joint. Rather, the shoulder kinematic chain features a free vertical pivot joint and a spring-loaded elevation joint. The exoskeleton uses the shoulder kinematic chain to reposition the compensation device and uses the spring-loaded elevation joint to allow and assist arm adduction and abduction at the frontal plane.
The compensation device is arranged to provide an auxiliary variable torque at the shoulder level and compensates gravitational forces during shoulder movements on the sagittal and frontal planes. The compensation device is arranged to potentially prolong the duration and intensity of rehabilitation sessions and improve the performance during the execution of the tasks. The compensation device enables kinematic monitoring by means of sensors and guarantees proper cable routing. The compensation device comprises a mechanism, or switch, to shift between assistive and zero-torque modalities. The compensation device features a fixed shaft corresponding to the shoulder elevation axis, or the second shoulder axis of rotation. When the compensation device is switched to the transparent mode, the snap pin is inserted. A lever is fixed to the fixed shaft, with the second shoulder axis and a housing-elastic element axis coincident. Thus, during shoulder elevation, an elastic element cannot generate torque to assist the user because the direction of force of the elastic element is incident with the second shoulder axis. When the compensation device is switched to the assistive mode, the lever is permitted to rotate concerning a lever axis and the lever is aligned with the direction of force of the elastic element. The presence of an inner stroke end limits the stroke of lever, thus enabling torque generation above a specific angle and disabling the torque delivery below the specified angle.
The rotation cuff comprises a circular guide having a center of rotation collocated with the shoulder internal-external rotation axis of a user or third shoulder axis of rotation. The rotation cuff comprises a circular truck and first and second movable end-stops. The circular truck features bearings to enable the circular truck to slide along the circular guide. The rotation cuff is positioned between compensation device and elbow module. The first and second movable end-stops feature degree steps that allow the rotation cuff to customize the range of motion of the user about the third shoulder axis of rotation.
The first and second movable end-stops feature first and second circularly movable tracks and use spring pins to release and stop movement of the movable end-stops. The rotation cuff enables monitoring of kinematic movement by means of encoders and facilitates freedom of movement. The rotation cuff may also feature an encoder that is encased in an encoder housing. The encoder is used to read the joint position of the rotation cuff and is positioned between the first and second movable end-stops. This design provides a compact solution for monitoring internal-external rotation angles.
The elbow module is configured to guarantee freedom of flexion and extension movements at an elbow joint of a user. The elbow module may be arranged to hold a user's upper limb in specific positions to restore physiological posture with respect to desired physiological patterns. The elbow module allows for the physical integration of a FES system and enables kinematics monitoring of the elbow joint using a sensor apparatus. The elbow module features a flexion-extension joint with its center of rotation collocated with the elbow flexion-extension axis of a user or fourth axis of rotation I4. The elbow module may comprise first and second movable end-stops that facilitate tuning of the range of motion of the flexion-extension joint.
The exoskeleton may integrate with an electronic platform for sensor data acquisition, processing, and communication. The electronic platform for sensor data acquisition and processing and communication of the exoskeleton comprises a plurality of sensors, encoders, and IMUs positioned at strategic locations on the portable exoskeleton. The electronic platform may comprise a main control unit, at least one Bluetooth dongle, an ethernet switch, and a battery pack. The electronic platform for sensors data acquisition and processing and for communication also facilitates full software integration with an FES system to provide control of stimulation and acquisition modules through a centralized platform.
The full set of kinematic data obtained from embedded sensors provides relevant input variables to users, healthcare clinicians, and other interactive modules. The electronic platform includes means for data monitoring, such as a graphical user interface on a monitoring computer, to enable real-time visualization of kinematic data acquired by the sensors apparatus, record and store kinematic data, and regulate FES communication and control.
These and other features, aspects, and advantages of the present disclosure will become better understood regarding the following description, appended claims, and accompanying drawings.
As used, the term “proximal” has its ordinary meaning and refers to a location next to or near the point of attachment or origin or a central point, or located toward the center of the body. Likewise, the term “distal” has its ordinary meaning and refers to a location situated away from the point of attachment or origin or a central point, or located away from the center of the body. The term “posterior” also has its ordinary meaning and refers to a location behind or to the rear of another location. Last, the term “anterior” has its ordinary meaning and refers to a location ahead of or to the front of another location.
These anatomical terms follow the user wearing the sensorized upper-limb exoskeleton referring to an anatomical position. An anatomical position is generally defined as the erect position of the body with the face directed forward, the arms at the side, and the palms of the hands facing forward, which is a reference in describing the relation of body parts to one another.
The terms “rigid,” “flexible,” “compliant,” and “resilient” may distinguish characteristics of portions of certain features of the interface system. The term “rigid” should denote that an element of the exoskeleton, such as a frame, is generally devoid of flexibility. Within the context of features that are “rigid,” it should indicate that they do not lose their overall shape when force is applied and may break if bent with sufficient force. The term “flexible” should denote that features are capable of repeated bending such that the features may be bent into retained shapes or the features retain no general shape, but continuously deform when force is applied.
The term “compliant” may qualify such flexible features as generally conforming to the shape of another object when placed in contact therewith, via any suitable natural or applied forces, such as gravitational forces, or forces applied by external mechanisms, for example, strap mechanisms. The term “resilient” may qualify such flexible features as generally returning to an initial general shape without permanent deformation. As for the term “semi-rigid,” this term may connote properties of support members or shells that provide support and are free-standing; however, such support members or shells may have flexibility or resiliency.
The term “zero-torque modality” is used to describe a mode of the compensation device that provides neither obtrusive nor assistive action of the exoskeleton. The zero-torque modality means that approximately zero newton-meters, or less than 0.57 N m, of torque is applied along the full range of shoulder flexion angles.
The term “control unit” is used to describe a main circuit board that is configured to provide power and a suitable electronic interface for the wired connections of all involved sensors. The control unit is part of an electronic platform that supports bidirectional communication with external systems.
The term “encoder” is understood to have its ordinary and usual meaning to one skilled in the art, and, unless specified, may refer to absolute and incremental encoders. The encoder may encompass a device or sensor used to detect positional information. The encoder may be mechanical, optical, magnetic, or electromagnetic induction type.
The term “sensor” is understood to have its ordinary and usual meaning to one skilled in the art. The sensor may refer to a device that measures a physical quantity or quality and converts the measurement into electrical signals that can be read, analyzed, stored, and/or understood by a user, clinician, or another instrument. Additionally, the term “sensorized” is understood to mean fitted or embedded with one or more sensors.
The term “kinematic data” is understood to mean data associated with the motion of the exoskeleton and sensorized parts of the exoskeleton.
The term “cable” should not be understood in a limiting sense and encompasses any flexible elongate structure capable of being wound up and unwound, such as a cord, wire, rope, or line.
The term “user” refers to a person who uses the exoskeleton. The user may be a patient or an operator. The term “clinician” refers to a clinical specialist, supervisor, therapist, doctor, or person with a similar role that assists or oversees the operation of the exoskeleton by the user.
The embodiments of the disclosure are adapted for a human body, and may be dimensioned to accommodate different types, shapes, and sizes of human body sizes and contours. For explanatory purposes, the sensorized exoskeleton system embodiments described correspond to different body sections and are denoted by general anatomical terms for the human body.
The embodiments of the sensorized exoskeleton system may correspond to anterior and posterior body sections defined by an anterior-posterior plane. The anatomical terms described are not intended to detract from the normal understanding of such terms as readily understood by one of ordinary skill in the art of orthopedics, braces, human interfaces, and supports.
A better understanding of different embodiments of the disclosure may be had from the following description read with the accompanying drawings in which like reference characters refer to like elements.
While the disclosure is susceptible to various modifications and alternative constructions, certain illustrative embodiments are in the drawings and are described below. It should be understood, however, there is no intention to limit the disclosure to the specific embodiments disclosed. The purpose is to cover all modifications, alternative constructions, combinations, and equivalents that fall within the spirit and scope of the disclosure.
The embodiments of the disclosure are adapted for a human body, and may be dimensioned to accommodate different types, shapes, and sizes of human body sizes and contours. For explanatory purposes, the sensorized exoskeleton system embodiments described correspond to different sections of a body and are denoted by general anatomical terms for the human body. The term “muscle” is used broadly herein and includes any neuroskeletal muscles (sometimes called “skeletal muscle” or “striated muscle tissue”) of the human body. This can include, for example, muscles of the leg, arm, back, or any other body part.
Described herein is a sensorized exoskeleton that is capable of monitoring the arm kinematics of a user and may interface with external platforms, including FES and AR/VR systems. FES is used broadly herein to refer to sensors, techniques, devices, etc. that stimulate muscles using electrical pulses. FES may be used in combination with electromyography (EMG) to record and interpret biosignals generated by muscles. This includes the use of, for example, sensors and techniques for an electromyogram, for surface EMG, for intramuscular EMG, for implanted EMG sensors, or other sensors that otherwise use the electrical activity or signals generated by any muscle of the human body. Other electronics on-board with the sensory system may include encoders, controllers, IMU devices, batteries, cameras, load cells, reducers, memories, motors, and resistors.
The exoskeleton 100 features a physical human-robot interface (pHRi) 102 element devoted to enhancing the interaction between the exoskeleton 100 and a user. In an exemplary embodiment, the pHRi 102 provides trunk and spine stabilization for a user and balances the weight of the unilateral architecture of the exoskeleton 100; however, the exoskeleton 100 could be configured as having a bilateral architecture. The pHRi 102 additionally facilitates safe transmission of assistive forces provided by the compensation device 106. The pHRi 102 may include a rigid or semi-rigid back support panel with padding, a shoulder lace, a balancing posture lace, an arm cuff, one or more forearm cuffs, and fastening means, such as straps or bands, to wrap around the torso of a user. The pHRi 102 may also include discrete regulation means, such as a slidable panel and locking pins, to regulate the length of the pHRi 102 along the spine of the user. Additionally, the pHRi 102 may include an IMU 105, such as a 9-axes inertial module, attached to pHRi trunk support 134.
The exoskeleton 100 features a unique shoulder kinematic chain 104 that provides increased ROM on transverse, sagittal, and frontal planes. The exoskeleton features a shoulder internal-external rotation joint 108 that is configured to guarantee freedom of internal and external rotational movement. The shoulder internal-external rotation joint, or rotation cuff 108, may be arranged to hold a user's upper limb in specific positions to restore the physiological posture of a user concerning desired physiological patterns. The exoskeleton 100 features an elbow module 110 that allows for tunable flexion and extension movements. The elbow module 110 is configured to guarantee freedom of flexion and extension movements at an elbow joint of a user. The elbow module 110 may be arranged to hold a user's upper limb in specific positions to restore the physiological posture of a user with respect to desired physiological patterns.
The exoskeleton 100 features a compensation device 106 that offers assistive force to a user during shoulder movements on sagittal and frontal planes. The compensation device 106 partially compensates for gravitational forces generated by the weight of the upper limb of a user. Additionally, the exoskeleton 100 features an electronic control unit 112 connected to a plurality of sensors and computers and may be part of an exoskeleton electronic platform. The control unit 112 is capable of processing kinematic data received from embedded sensors of the exoskeleton 100 and may interface with the communication and control systems of other FES and VR/HR modules.
The exoskeleton 100 comprises a linear guide 116 for continuous linear regulation or a passive linear degree of freedom. In an embodiment where the linear guide 116 is configured as a passive linear degree of freedom, permitting linear movement at the shoulder level and on the frontal plane of a user, the linear guide 116 comprises an elastic element, such as an elastic lace or cable, being parallel to a horizontal strut 114 and extending between a vertical pivot frame 118 and pHRi 102, as depicted in
The exoskeleton 100 further comprises an anterior-posterior adjustment guide 103 to set the anterior-posterior position of a free vertical pivot joint 120. The anterior-posterior adjustment guide 103 accommodates a wide range of anthropometries. The anterior-posterior adjustment guide 103 improves both the exo-kinematic chain alignment with respect to human joints and the wearability of the exoskeleton 100. This adjustment is particularly beneficial for subjects with pathological posture abnormalities (e.g., kyphosis).
In an embodiment, the free vertical pivot joint 120 comprises a continuous regulation joint 107, such as a slot 129 depicted in
In an embodiment, the exoskeleton 100 comprises an adjacent rotational joint 113 disposed between the spring-loaded elevation joint 122 and the free vertical pivot joint 120. The adjacent rotational joint 113 permits passive rotational movement to partially mimic the scapula protraction-retraction degree of freedom. The adjacent rotational joint 113 improves the exo-kinematic chain alignment with respect to human joints during shoulder movements and increases the range of motion of the exoskeleton 100. The adjacent rotational joint 113 is particularly beneficial in specific applications of reaching tasks for ADLs and functional rehabilitation.
The spring-loaded elevation joint 122 implements a spring-loaded degree of freedom. The free vertical pivot joint 120, adjacent rotational joint 113, internal-external rotation joint 108, and elbow module 110 implement passive rotational degrees of freedom. The pHRi 102, arm length adjustment guide 115, and forearm adjustment member 117 facilitate discrete linear regulation to improve wearability and improve alignment with respect to human joints. The exoskeleton 100 may further comprise an IMU 119, such as a 9-axes inertial module, connected to the spring-loaded elevation joint 122.
The vertical pivot frame 118 generally extends about a second shoulder axis of rotation, or horizontal second axis of rotation, I2 from a posterior, medial portion of the horizontal strut 114 to a laterally positioned free vertical pivot joint 120 located above the shoulder of a user at a first axis of rotation I1 and at approximately the frontal plane of the user. The vertical pivot frame 118 may feature holes or apertures at the first end 130 that are generally arrayed along a length perpendicular to the horizontal strut 114 to adjust the height of vertical pivot frame 118 and accommodate different body types and heights of users. Additionally, because the configuration of the vertical pivot frame 118 is such that it is substantially vertical, the vertical pivot frame 118 avoids interference with the user's neck, shoulder, and other elements of the exoskeleton 100.
The free vertical pivot joint 120 allows for movement on a transverse plane and is equipped with an encoder 121 within a housing 123, observed in
A limiting torque knob 128 is used to fix the horizontal arm 124 to the vertical pivot frame 118 at the free vertical pivot joint 120. In an embodiment, the second end 132 of the vertical pivot frame 118 comprises a recess 127 to receive the horizontal arm 124. The recess 127 allows for movement of the horizontal arm 124 at the free vertical pivot joint 120. The limiting torque knob is used to set the relative distance D1 between the free vertical pivot joint 120 at a first axis of rotation I1 and the shoulder internal-external rotation joint 108 at a third axis of rotation I3. The horizontal arm 124 is provided with a slot 129 through which the limiting torque knob 128 extends and along which the relative distance D1 is regulated parallel to the second axis of rotation I2. The vertical arm 125 connects to the compensation device 106 at the at the spring-loaded elevation joint 122 which is positioned at the second axis of rotation I2.
The spring-loaded elevation joint 122 is coupled with the compensation device 106 along the second axis of rotation I2. The spring-loaded elevation joint 122 features an encoder 109 to read joint positions about the second axis of rotation I2. The shoulder kinematic chain 104 does not include a collocated joint for arm adduction and abduction at the frontal plane, nor does it have a parallel remote joint. Rather, the shoulder kinematic chain 104 features a free vertical pivot joint 120 and a spring-loaded elevation joint 122. The exoskeleton 100 uses the shoulder kinematic chain 104 to reposition the compensation device 106 and uses the spring-loaded elevation joint 122 to allow and assist arm adduction and abduction at the frontal plane.
The modality switch 204 features a snap pin 207 positioned coaxially to the second axis of rotation I2 to switch between a transparent mode and an assistive mode by engaging and disengaging the spring-loaded mechanism 205. When the modality switch 204 is set in the transparent mode position, the snap pin 207 is inserted, and a lever is fixed to a fixed shaft, with shoulder and elastic element axes being coincident. During shoulder elevation, an elastic element cannot generate torque to assist the user because the direction of the elastic element force is incident with shoulder axis I2. The transparent mode is a zero-torque modality that provides neither obtrusive nor assistive action of the exoskeleton.
When the modality switch 204 is set in the assistive mode position, the snap pin 207 is not inserted and the lever is permitted to rotate concerning the lever axis, the lever being aligned with the direction of the elastic element force. An inner stroke end of the fixed shaft 224 allows the compensation device 200 to limit the lever's 222 stroke and enables torque generation above a specific angle (e.g., 20°, 25°, 30°, 35°, or 40°) and disable the torque delivery below that angle. The assistive mode setting provides a two-phase profile that features a zero-torque range followed by an assisted range with a torque-angle curve proportional to the upper limb weight of the user during anti-gravitational movement. The lever, spring-loaded mechanism, and associated axes are described in greater detail below with reference to
As depicted in
As depicted in
It is to be understood that compensation devices 200 and 300 are embodiments of compensation device 106.
During shoulder elevation, an elastic element 304 is unable to generate torque to assist the user because the direction of force of the elastic element 304 is incident with shoulder elevation axis I2. The lever-housing axis I7 is located at a distal end of the compensation device 300 and parallel to the housing-elastic element axis I5. When the compensation device 300 is switched to the assistive mode, the lever 310 is permitted to rotate concerning the lever axis I6, the lever 310 being aligned with the direction of force of the elastic element 304 and the snap pin 301 not being engaged to fix the lever 310 and fixed shaft 312.
The presence of an inner stroke end of the fixed shaft 312 limits the stroke of lever 310, enables torque generation above a specific angle (e.g., 20°, 25°, 30°, 35°, or 40°), and disables the torque delivery below the specified angle. The first end 306 of the elastic element 304 is attached to a first mount 314, and the first mount 314 is connected to a first bracket 318. The second end 308 of the elastic element 304 is attached to a second mount 316, and the second mount 316 is connected to a second bracket 320. The elastic element 304 couples the lever 310 and the housing 302, namely the outer frame of the housing 302 that moves with a user's arm and rotates about the shoulder elevation axis I2.
The first and second movable end-stops 406, 408 feature 10-degree steps that allow the rotation cuff 400 to customize the range of motion of the user about the third rotational axis I3. The first and second movable end-stops 406, 408 feature first and second circularly movable tracks 410, 412 and use spring pins to release and stop movement of the movable end-stops 406, 408. The movable tracks 410, 412 may feature indicators or markers to specify whether the movable end-stops 406, 408 are in a free or locked position.
The circular truck 402 features one or more coupled bearings 401, 403 to enable the circular truck 402 to slide along the circular guide 404.
The circular truck 402 is configured to connect with various embodiments of compensation device 106. In an exemplary embodiment, the circular truck 402 connects with the arm length adjustment guide 212 of the compensation device 200 depicted in
The rotation cuff 400 enables monitoring of kinematic movement using at least one encoder and facilitates freedom of movement. The rotation cuff 400 features an encoder 415 encased in an encoder housing 414. The encoder 415 is used to read the joint position of the rotation cuff 400 and is positioned between the first and second movable end-stops 406, 408. The encoder 415 may use a magnetic scale 417 positioned on the rotation cuff 400 to obtain kinematic data. This design provides a compact solution for monitoring internal-external rotation angles. The moveable end-stops 406, 408 provide a system with the option to tune the range of motion of a user by limiting or completely locking internal-external rotation of the shoulder joint. Additionally, the reset of the initial joint position of the rotation cuff 400 may be managed via software associated with the electronic platform.
The elbow module 500 facilitates effective integration of an encoder 538 and proper routing of sensors' cables. The elbow module 500 features a flexion-extension joint 502 with its center of rotation collocated with the elbow flexion-extension axis of a user or fourth axis of rotation I4. The elbow module 500 comprises first and second movable end-stops 504, 506 that facilitate tuning of the flexion-extension joint 502. The movable end-stops 504, 506 may tune the flexion-extension joint to a specific angle or a range of angles between 0 and 105 degrees of flexion. The movable end-stops 504, 506 may also comprise one or more apertures 508 to indicate the position or specific angles of the degrees of flexion.
The elbow module 500 features a semi-rigid or rigid strut 518 that extends from the elbow flexion-extension joint 502 and supports a user's forearm. The strut 518 is configured to interface with a first forearm attachment member 512 and a second forearm attachment member 514. The first forearm attachment member 512 is configured to curve about the forearm of a user and may comprise D-ring attachment members that may engage with straps, belts, or other fastening means to further support the arm of a user. The strut 518 also features an aperture 520 to adjust forearm length using the second forearm attachment member 514.
A forearm adjustment member 516 is used to lock the position of the second forearm attachment member 514 along the strut 518. The forearm adjustment member 516 may comprise a pin, screw, or other fastening member to engage with the aperture 520. The aperture 520 may feature grooves or cavities along the length of the strut 518 that correspond to the forearm adjustment member 516. The second forearm attachment member 514 is configured to curve about the forearm of a user and may comprise D-ring attachment members that may engage with straps, belts, or other fastening means to further support the arm of a user.
It is to be understood that electronic platform 600 can be integrated with exoskeleton 100 to make up a sensorized exoskeleton system and/or method for interfacing the exoskeleton 100 and electronic platform 600, and control unit 602 is an embodiment of control unit 112.
The control unit 602 connects to the Bluetooth dongle 620, that manages communication between control unit 602 and external FES modules 624, 626. The Bluetooth dongle 620, is connected to the control unit 602 through SPI or similar interface bus technology. The Bluetooth dongle 620 communicates with FES modules 624, 626 via Bluetooth or other suitable short-range data exchange technology. The ethernet switch 628 is used to ensure communication with an external monitoring computer 634 for Real-time visualization of sensor data. Additionally, the ethernet switch 628 allows communication with an AR/VR host computer 630. The ethernet switch 628 connects to the control unit 602, AR/VR host computer 630 via ethernet communication and to the monitoring computer 634.
Main components of the electronic platform 600 may be embedded in one or more 3D printed cases are remotely connected to the exoskeleton 100 through multi-conductor wiring. The control unit 602 may be connected to a custom breakout board embedded in the exoskeleton 100. Preferably, control unit 602 comprises one or more Surface Mounted Device (SMD) connectors for exoskeleton connection and one or more SMD connectors for sensor interface to reduce encumbrance and weight of the exoskeleton 100.
The electronic platform 600 may have an encoder for each rotational axis of exoskeleton 100. Preferably, the electronic platform 600 features at least three absolute encoders 604, 606, 608 and at least one incremental encoder 610. Free vertical pivot joint 120 may be equipped with absolute encoder 604, spring-loaded elevation joint 122 may be equipped with absolute encoder 606, elbow module 110 may be equipped with absolute encoder 608, and shoulder internal-external rotation joint 108 may be equipped with incremental encoder 610. The encoders 604, 606, 608, and 610 are connected to a main board or control unit 602, preferably via synchronous serial interface (SSI) or similar interface bus. It is to be understood that feedback and kinematic data obtained from the electronic platform 600 may be received by a user or clinician.
The GUI 700 may also enable data logging by storing binary files on the control unit 602 or monitoring computer 634. Accordingly, a data saving option 720 may be provided. Data collected with the monitoring computer 634 may be used to assist in planning personalized rehabilitation regimes that a user or patient may perform at home. The GUI 700 may also feature a command 722 to start or stop data visualization. The real-time visualization, data logging, and FES modules of the electronic platform 600 create a digital user twin or virtual representation of the user and sensorized exoskeleton system.
The sensorized exoskeleton system, as described herein, is capable of delivering anti-gravitational support at the shoulder level and offers means to set specific upper-limb configurations by tuning shoulder and elbow ranges of motion. The sensorized exoskeleton system is endowed with a sensory system to monitor kinematic data from the device and is also endowed with an electronic processing and communication unit to support bidirectional communication with external systems. The sensorized exoskeleton system can thus interface with FES, VR/AR, digital twin technology and other feedback systems.
It is to be understood that the disclosed exoskeleton 100 and related tunable joints 108, 110, 120, 122 can be configured to accommodate a motorized or active actuation architecture. The embodiment in
It should be understood that not necessarily all objects or advantages may be achieved under any embodiment of the disclosure. Those skilled in the art will recognize that the embodiments may be embodied or carried out to achieve or optimize one advantage or group of advantages as taught without achieving other objects or advantages as taught or suggested.
Those skilled in the art will recognize the interchangeability of various disclosed features. Besides the variations described, other known equivalents for each feature can be mixed and matched by one of ordinary skill in this art to construct an interface system under principles of the present disclosure.
While the shoulder assist mechanism is briefly described, it is not limited to the depicted embodiments and the interface system may be adapted to accommodate different shoulder assist mechanisms.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2023/052820 | 3/22/2023 | WO |
Number | Date | Country | |
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63322546 | Mar 2022 | US |