EP3746025A1 - Système de décharge pour la décharge au moins partielle du poids du corps d'une personne - Google Patents

Système de décharge pour la décharge au moins partielle du poids du corps d'une personne

Info

Publication number
EP3746025A1
EP3746025A1 EP19708388.4A EP19708388A EP3746025A1 EP 3746025 A1 EP3746025 A1 EP 3746025A1 EP 19708388 A EP19708388 A EP 19708388A EP 3746025 A1 EP3746025 A1 EP 3746025A1
Authority
EP
European Patent Office
Prior art keywords
person
relief system
support means
fastening
cuff
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP19708388.4A
Other languages
German (de)
English (en)
Inventor
Alexander KÖNIG
Ramona Susanna Schläfer
Manfred Köstlmeier
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Reactive Robotics GmbH
Original Assignee
Reactive Robotics GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Reactive Robotics GmbH filed Critical Reactive Robotics GmbH
Publication of EP3746025A1 publication Critical patent/EP3746025A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • A61H1/0229Drawing-out devices by reducing gravity forces normally applied to the body, e.g. by lifting or hanging the body or part of it
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • A61H3/008Appliances for aiding patients or disabled persons to walk about using suspension devices for supporting the body in an upright walking or standing position, e.g. harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/005Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame tiltable around transverse horizontal axis, e.g. for Trendelenburg position
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/005Moveable platforms, e.g. vibrating or oscillating platforms for standing, sitting, laying or leaning
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0218Drawing-out devices
    • A61H1/0222Traction tables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0266Foot
    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00178Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices for active exercising, the apparatus being also usable for passive exercising
    • AHUMAN NECESSITIES
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    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40Interfaces with the user related to strength training; Details thereof
    • A63B21/4001Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • AHUMAN NECESSITIES
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    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40Interfaces with the user related to strength training; Details thereof
    • A63B21/4001Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • AHUMAN NECESSITIES
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    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
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    • A63B21/40Interfaces with the user related to strength training; Details thereof
    • A63B21/4027Specific exercise interfaces
    • A63B21/4033Handles, pedals, bars or platforms
    • A63B21/4034Handles, pedals, bars or platforms for operation by feet
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    • A63B69/00Training appliances or apparatus for special sports
    • A63B69/0064Attachments on the trainee preventing falling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0103Constructive details inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0119Support for the device
    • A61H2201/0138Support for the device incorporated in furniture
    • A61H2201/0142Beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01Constructive details
    • A61H2201/0192Specific means for adjusting dimensions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • A61H2201/1215Rotary drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/14Special force transmission means, i.e. between the driving means and the interface with the user
    • A61H2201/1481Special movement conversion means
    • A61H2201/149Special movement conversion means rotation-linear or vice versa
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1619Thorax
    • A61H2201/1621Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1628Pelvis
    • A61H2201/163Pelvis holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5061Force sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0443Position of the patient substantially horizontal
    • A61H2203/0456Supine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2203/00Additional characteristics concerning the patient
    • A61H2203/04Position of the patient
    • A61H2203/0481Hanging
    • A61H2203/0487Hanging upright
    • AHUMAN NECESSITIES
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    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B22/00Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements
    • A63B2022/0092Exercising apparatus specially adapted for conditioning the cardio-vascular system, for training agility or co-ordination of movements for training agility or co-ordination of movements
    • AHUMAN NECESSITIES
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    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00058Mechanical means for varying the resistance
    • A63B21/00069Setting or adjusting the resistance level; Compensating for a preload prior to use, e.g. changing length of resistance or adjusting a valve
    • AHUMAN NECESSITIES
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    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/002Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices isometric or isokinetic, i.e. substantial force variation without substantial muscle motion or wherein the speed of the motion is independent of the force applied by the user
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    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/005Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters
    • A63B21/0058Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using electromagnetic or electric force-resisters using motors
    • AHUMAN NECESSITIES
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    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/15Arrangements for force transmissions
    • A63B21/151Using flexible elements for reciprocating movements, e.g. ropes or chains
    • A63B21/153Using flexible elements for reciprocating movements, e.g. ropes or chains wound-up and unwound during exercise, e.g. from a reel
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    • A63B69/0028Training appliances or apparatus for special sports for running, jogging or speed-walking

Definitions

  • the present invention relates to a relief system for at least partial Ent load of the body weight of a person, comprising at least: a suspension, a cuff for receiving at least a portion of an outer limb of the person, a first support means for the operative connection of the cuff with the suspension, and an the suspension arranged guide means for guiding the first support means.
  • a device for patient safety and weight relief of handicapped patients in particular stroke patients which can be used in treadmill training.
  • the disclosed device stands on the ground, has a frame-like shape and extends over a running band, so that cable suspensions can be attached, with a maximum Ausnut tion of the ceiling height by two separate cable suspensions of the patient left and right next to the head to the Shoulder.
  • the main fixture and the merge are in turn located laterally next to the patient and not above the patient's head, the device has a particularly small height.
  • a training device for human gait which is used both for gait rehabilitation and as a training device can. It is characterized among other things by a mass-center-controlled belt system for securing the patient.
  • DE 10 2014 004 997 A1 discloses a body weight relief device for trunk stabilization and fall protection, in particular for treadmill ergometer applications in ergometry, therapy, rehabilitation and running or sprint training. It is characterized by a fall protection with automatic belt shut-off and by an automatic lifting / straightening of the patient / athlete in case of a fall.
  • Allen said body weight relief systems in common is that the interaction between the respective device and the user via ophenosis takes place, which must be arranged on the upper body, at the hip and / or in the groin area of Be user to record this safe and stable ,
  • the known systems can provide the nursing staff time and again with the problem of having to connect patients from a lying position out with the respective device , which requires a lifting of the entire upper body of the patient.
  • gera de critically ill patients are often associated with a variety of other diagnostic and / or thera Guideic-medical facilities, such as ECG, catheters and the like, which can not be stored during rehabilitation, by the connection with a body weight relief system but not should be disturbed / impaired.
  • other diagnostic and / or thera Guideic-medical facilities such as ECG, catheters and the like, which can not be stored during rehabilitation, by the connection with a body weight relief system but not should be disturbed / impaired.
  • the present invention has the object to provide compactzu a United equal to the prior art improved body weight relief system, which allows a, especially for third parties, easy to carry connection between a user, especially a seriously ill, bedridden patients, and the discharge system.
  • the body weight relief system should also be designed such that a disturbance or impairment of others, with avoiding the patient's body connected medical devices while allowing a disability-free walking / walking movement of the user.
  • a relief system according to the invention is distinguished from genus-forming relief systems in that the cuff is designed as a thigh cuff for receiving a person's thigh, and that at least a first attachment means for attaching a first end of the first support means and at least a second attachment means for securing a cuff second end of the first support means is formed, wherein the support means over the ceremoniessmit tel runs, so that on the collar at the first and second fastening means an equally distributed tensile force is exerted when the first support means upon movement of the cuff under load by at least a portion of the body weight of the Person is guided by the guide means.
  • the erfmdungssiee relief system advantageously allows a low-resistance and comfortable moving the cuff and thus an outer limb, in particular a special leg, while constant relief of at least part of the body weight of the exercising person.
  • the cuff can be designed as described in the applicant's copending application 10 2018 102 107.0 from today, to which reference should be made in full. Further advantageous embodiments and further developments, which are used individually or in com bination with each other, are the subject of the dependent claims.
  • At least a third attachment means for attaching a first end of a second support means whose second end is connected to the suspension may be formed on the collar, so that on the collar on the third attachment means a variable tensile force is applied, if the second Supporting means is guided in a movement of the cuff under load by at least part of the body weight of the person through the guide means.
  • the fastening means are variably arranged on a closed-end sleeve, so that in the case of two fasteners these at an angle of 180 ° and in the case of three fastening supply means these at an angle of 120 ° to each other are arranged.
  • Variable attachable fasteners advantageously allow the adjustment of the positions of the fastener on the cuff to the diameter of the, absorbed by the cuff, limb of the person and lead in this way advantageously to a uniformly applied, so evenly distributed tensile force on the cuff or on the thus recorded Extremity of the person.
  • the guide means may comprise at least one Gleitinate or a deflection roller with which the first support means is in Wirkverbin training.
  • a trained as a deflection roller guide means advantageously allows a particularly smooth running of the first support means.
  • a Gleitinate represents a FITS cost-effective alternative to it.
  • the cuff can also be designed as a thigh kelmanschette for receiving a thigh of the person.
  • a trained as a thigh cuff cuff advantageously allows the recording The person directly on the thigh and thus avoids further holding and / or stabilization means, which could hinder the person in their movement.
  • An upper thigh cuff also advantageously avoids interference with other medical / therapeutic devices such as catheters, in particular with inguinal cords.
  • a thigh cuff takes place here, for example in Ge sentence to a waist belt or a torso vest, advantageously without rearrangement of the person, the user, especially the physiotherapeutic nurses, only one compared to the torso of a person comparatively light leg be moved.
  • an embodiment of the relief system in which the suspension is part of a head end of a hospital bed, in particular of a hospital bed that can be sterilized has proved successful.
  • a trained as part of a headboard of a hospital bed, in particular a hospitalized hospitalized suspension he advantageously allows the simple and stable at the same time attachment of the discharge system, while saving additional components, such as. Additional scaffolding, a favorable.
  • the relief system may comprise a means for longitudinal displacement, which is designed to move the suspension along a longitudinal direction, in particular a hospital bed.
  • a means for longitudinal displacement in the case of using the discharge system together with a stationary base plate or with a running band or the like, a relief of at least a portion of the body weight of the person by train, ie by a longitudinal displacement of the suspension along a longitudinal direction, in particular a hospital bed, be realized.
  • Such a relief system set up can, especially in the case of physically comparatively large and / or strong people, facilitate an individual adaptation to the respective user Be advantageous without having to move the person himself in the hospital bed.
  • an additional means for further at least partial weight of the person is provided.
  • the additional means can be used as a base plate arranged at the foot of the hospital bed or, more preferably, as a stepping movement enabling foot module of a rehabilitation mechanism be educated.
  • an additional means for further leastCsbewhame the person allows relief by moving a bottom plate / a foot module along a longitudinal direction of the hospital bed, the person, especially the Intensive patient, with respect to a longitudinal displacement can remain at rest.
  • an embodiment of the invention is preferred in which a sensor for measuring measurement of a gravitational force on the person, in particular for measuring the force acting on the outer extremities, may be provided, which control data for Steue tion of a means for longitudinal displacement, an additional means for further at least partially weight-bearing of the person, and / or provides a Vertikaltechnischsmecha- a hospital bed.
  • a sensor-controlled release system advantageously permits automatic adjustment of the weight load on the extremities of the person as a function of the currently measured sensor data.
  • an embodiment of the relief system in which, in particular at the head end of a hospital bed, two mutually spaced on suspensions are arranged, with each suspension a collar can be operatively connected via a first support means.
  • Such a ausgestaltetes relief system with two suspensions advantageously allows a uniform discharge of both body sides and is particularly suitable for performing an (automated) gear therapy and / or mobilization, in particular using a foot module of a example arranged at the hospital bed rehabilitation mechanism.
  • first and / or the second suspension means may be formed as a band, belt, belt and / or a chain.
  • the first and / or the second support means may be formed from a disinfectable plastic, in particular made of polyurethane or be provided with a desinfi zierbaren coating, in particular polyurethane.
  • Support means made of a disinfectable plastic or those which are provided with a disinfectable Beschich device advantageously allow a time-efficient and thereby thorough cleaning of the support means and wear in particular when using the discharge system in Intensive area of a hospital, the local high hygiene requirements advantageous account.
  • first and / or the second support means are least length-adjustable adjustable at one end.
  • the support means can be advantageous simply and quickly adjusted to the body length of the exercising person.
  • the "change time" to adjust to the subsequent user is advantageously shortened ver.
  • an embodiment of the invention is preferred in which a holding system for the upper body and / or the hip of a person is provided.
  • a holding system can advantageously improve the stabilization of the exercising person during the movement, in particular if only one cuff is provided on the relief system.
  • the present invention provides an improved compared to the prior art relief system for at least partially relieving the body weight of a person willing, which a, especially for third parties, easy to carry connection of a person, especially a seriously ill, bedridden patient, with the Entlastungssys system before the start of training or rehabilitation exercises advantageous without Umla like the person allows.
  • the discharge system in the context of rehabilitation exercises of a bedridden patient in an intensive care unit by the inclusion of at least a portion of an external Ext of the person through the cuff advantageously a compatibility with medical / therapeutic facilities such as catheters and / or diagnostics - Sensors, which are often arranged on the torso and / or in the groin area of the person guaranteed.
  • the present invention advantageously allows the implementation of rehabilitation and / or mobilization exercises under at least teilwei water discharge of the body weight of the person without hindering them in their walking or walking movement.
  • it is also suitable for applications in conventional rehabilitation equipment and / or sports equipment for non-bedridden patients. Additional details and further advantages of the invention will be described below with reference to preferred embodiments, to which the present invention is not limited, and in conjunction with the accompanying drawings. In it show schematically:
  • Fig. 1 shows an embodiment of a relief system according to the invention with two mutually spaced suspensions, attached to the head of a hospital bed sick in a front view;
  • FIG. 2 shows the relief system from FIG. 1 with a holding system for the upper body and / or the hip of a person;
  • FIG. 2 shows the relief system from FIG. 1 with a holding system for the upper body and / or the hip of a person;
  • FIG. 3 shows the relief system from FIG. 1 in a side view
  • FIG. 4 shows a relief system with a suspension and a first support means in a side view
  • Fig. 5 shows a relief system with a suspension and a first support means and a second support means in a side view.
  • Fig. 1 shows an embodiment of a relief system according to the invention 4 with two spaced-apart suspensions 44a and 44b, attached to the head end 51 of a hospital bed 5 in a front view.
  • a collar la and 1b is operatively connected via a first support means 4la and 4lb.
  • the suspensions 44a and 44b can be configured separately and arranged as shown at the head end 51 of a hospital bed 5 or be part of a head end 51 of a hospital bed 5.
  • the hospital bed 5 is preference, designed verticallyisierbar, so that by deflecting the hospital bed 5 from the horizontal, a person located thereon 9 can be pivoted from the horizontal position to a completely upright posture.
  • the cords la and lb which may preferably be formed as described in the applicant's co-pending application DE 10 2018 102 107.0 from today's date, which is why reference is made to this Parallelanmel to avoid repetition, serve to accommodate at least a portion of an outer extremi a person 9 and can, as shown here, as a thigh cuffs for receiving a thigh 91 of the person 9 may be formed.
  • At least one seriouslysmitel 46a and 46b for guiding the ers th Tragmitel 4la and 4lb is arranged, wherein the guide or the circumstancessmitel 46a and 46b preferably at least one Gleitinate or as here a pulley 461 having the first Tragmitel 4la and 4lb are in operative connection.
  • the or the first Tragmitel 4la and 4lb may be thoroughlybil det as a belt, belt, belt and / or a Kete. They are preferably made of a disinfectable plastic, in particular made of polyurethane or with a disinfectable coating, in particular from Po lyurethan, provided to simplify their cleaning.
  • a person 9 can now be connected to the release system 4, for example, via one or both of the cuffs 1a and 1b.
  • the cuffs 1a and 1b shown here as thigh cuffs can advantageously be lifted without the upper body 92 and / or the hip 93 of the person 9 by driting on at least part of an outer extremity, here on a thigh 91, and the person 9 so safe. If the sterilizable hospital bed 5 is now pivoted from a hori zontal position towards a vertical position, the slope down force increases with increasing pivot angle to the person 9.
  • an additional Mitel 53 for further at least partial Thereforesaufhame the person 9 in the form of a Bodenplate 531 or a foot module 532 of a rehabilitation mechanism 55 be arranged.
  • the person 9 If the person 9 is in operative connection with the additional center 53 for the next few least partial weight lifting, then with increasing pivoting angle and thus increasing downhill force and the weight load on the outer extremities, especially the legs, the person 9 continuously increase.
  • a first fastening means l6a and l6b for fixing a first 41 la and 41 lb end of the first support means 4la and 4lb and at least one second attachment means l7a and l7b for fixing a second 4l2a and 4l2b End of the first support means 4la and 4lb is formed so that on the cuffs la and lb on the first Befest Trentsmit stuffs l6a and l6b and second fasteners l7a and l7b an equally distributed train force Z is exerted when the first support means 4la and 4lb in a movement B of the cuffs la and lb are guided under load by at least part of the body weight of the person 9 by the guiding means 46a and 46b, the person 9 is relieved of at least part of their body weight.
  • the person 9 can be picked up from the cuff (s) la and lb, but a restraint system 6 for the upper body 92 and / or the hip 93 of a person 9 to be seen in order to stabilize the person in addition.
  • Fig. 2 shows the relief system 4 of FIG. 1 with a support system 6 for the upper body 92 and / or the hip 93 of a person 9.
  • a support system 6 for the upper body 92 and / or the hip 93 of a person 9.
  • the holding system 6 can, however be designed as upper body and / or hip belt, hammock or the like.
  • a means 45a or 45b can be arranged for longitudinal displacement, which is preferably designed to move the suspension 44a or 44b along a longitudinal direction L, in particular a hospital bed 5.
  • FIG. 4 now shows a relief system 4 with a suspension 44a or 44b and a first support 4la or 4lb in a side view.
  • the lines 4la and 4lb obliquely intersecting lines are here to indicate that the figure is not drawn to scale and the length of the Tragmitels 4la or 4lb compared to the dimensioning of the other components shown must be considered longer.
  • At the cuffs la or lb at least a first Befest Whilesmitel l6a or l6b for attaching a first 41 la or 41 lb end of the first Tragmitels 4la or 4lb and at least one second Befestistsmitel l7a or l7b for fastening movement of a second 4l2a or 4l2b end of the first Tragmitels 4la or 4lb alsobil det, so that on the cuffs la or lb on the first l6a or l6b and two ten l7a or l7b Befestrsmitel an equally distributed tensile force Z is exerted when the first Tragmitel 4la or 4lb in a movement B of the cuffs la relationship, lb below Stress is guided by at least part of the body weight of the person 9 through the guide means 46a or 46b.
  • the movement B of the cuffs la or lb can be triggered by a pac
  • the support 4la or 4lb runs over a guide element 46a or 46b designed as a deflection roller 461 and is connected to the first attachment 41a or lb at the first attachment 41a or l6b and at its second end 412a or 41b to the second attachment l7a or 41b l7b attached.
  • a redirection of the tensile force from the front to the back of the cuff la or lb is realized via the deflection roller 461, whereby a constant unloading force is generated and absorbed by the cuff la or lb outer extremities, in particular the legs of the person 9 at the same time be able to move or move.
  • the fastening means 16a or 16b and / or 17a or 17b can be variably arranged on a closed collar 1a or 1b so that in the case of two fastening means 16a or 16b and 17a or 17b they can be arranged at an angle of 180 ° to one another.
  • the variable mountability of the fasteners 16a or 16b and / or 17a or 17b may preferably be shown by rails as shown in Figure 4 in the second fastener 17a or 17b and / or by the provision of a plurality of spaced apart fastener means here in the first fastener 16a or 16b, will be realized.
  • the first support means 4la or 4lb can also be designed to be adjustable in length at least at one end 41 la or 41 lb and / or 4l2a or 4l2b.
  • FIG. 4 shows by way of example a means 43a or 43b for length adjustment of the first support means 4la or 4lb in the vicinity of the second end 4l2a or 4l2b.
  • the means 43a or 43b for length adjustment may preferably as a buckle with different, spaced apart Lö chern within a designed as a belt first support means 4la or 4lb or as an adjusting screw within a designed as a chain or (steel) rope first support means 4la or 4lb are formed.
  • FIG. 5 shows a relief system 4 with a suspension 44a or 44b and a first support means 4la or 4lb and a second support means 42a or 42b in a side view.
  • at least a third fastening means l8a or 18b for fastening a first 42 la or 42 lb end of a second suspension means 42a or 42b is connected to the collar la or lb whose second end 422a or 422b is connected to the suspension 44a or 44b formed so that on the cuff la or lb on the third attachment means l8a or 18b a variable tensile force Zv is exercised out if the second support means 42a or 42b in a movement B of the cuff la or lb under load by at least part of the body weight of the person 9 is guided by the guide 46a or 46b.
  • the fastening means l8a or 18b attached to a closed collar la or lb is preferably variably arranged, so that in the case of three fastening means 16a or 16b and 17a or 17b and 18a or 18b these can be arranged at an angle of 120 ° to each other Movement, so when stretched, approximately straight down hanging limb of the person 9, the forces acting on the cuffs la or lb is distributed in this way advantageously evenly on the cuffs la or lb, which geous before the stability of the relief system 4, in particular with respect to a increased lateral tilting of the cuffs.
  • the tensile force Zv decreases on the third attachment means 18 a or 18 b and the relieving force distributes uniformly as a tensile force Z on the first support member 41 a or 4 lb or the first 16a or 16b and the second 17a or 17b fortification.
  • the second support 42a or 42b can also be secured at least at one end 42a; 42 lb; 422a or 422b advantageously be adjustable in length.
  • the present invention relates to a relief system 4, at least partially relieving the body weight of a person 9, characterized in that at a cuff la or lb at least a first Befest Trentsmitel l6a or l6b for fastening a first end 41 la or 41 lb of a first Traglaels 4la or 4lb and at least one second attachment means l7a or l7b is adapted for attachment of a second one of 4l2a or 4l2b of a first carrier 4la or 4lb, so that cuffs la or lb on the first l6a or l6b and l7a or l7b on the other are equally distributed Tensile force Z is exerted when the first Tragmitel 4la or 4lb is in a movement B of the cuffs la or lb under load by at least part of the body weight of the person 9 by the incidentssmitel 46a or 46b leads GE.
  • 43a; 43b means for length adjustment

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
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Abstract

La présente invention concerne un système de décharge (4) pour la décharge au moins partielle du poids du corps d'une personne (9), caractérisé en ce qu'au moins un premier moyen de fixation (16a ; 16b) destiné à fixer une première extrémité (411a ; 411b) d'un premier moyen de suspension (41a ; 41b) et au moins un second moyen de fixation (17a ; 17b) pour la fixation d'une seconde extrémité (412a ; 412b) d'un premier moyen de suspension (41a ; 41b) sont réalisés, sur une manchette (1a ; 1b), de telle sorte qu'une force de traction (Z) présentant une répartition uniforme est exercée sur la manchette (1a ; 1b) au niveau des premier (16a ; 16b) et second (17a ; 17b) moyens de fixation lorsque le premier moyen de suspension (41a ; 41b), lors d'un mouvement (B) de la manchette (1a ; 1b) sous l'effet d'une sollicitation due à au moins une partie du poids du corps de la personne (9), est guidé en passant par le moyen de guidage (46a ; 46b). Elle permet avantageusement une liaison simple en particulier d'un patient alité avec le système de décharge (4) sans qu'il faut au préalable transférer ce dernier, sans perturber d'autres dispositifs médicaux/thérapeutiques, et sans restreindre la marche et la démarche du patient.
EP19708388.4A 2018-01-31 2019-01-28 Système de décharge pour la décharge au moins partielle du poids du corps d'une personne Withdrawn EP3746025A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102018102179.8A DE102018102179A1 (de) 2018-01-31 2018-01-31 Entlastungssystem zur wenigstens teilweisen Entlastung des Körpergewichts einer Person
PCT/DE2019/100089 WO2019149317A1 (fr) 2018-01-31 2019-01-28 Système de décharge pour la décharge au moins partielle du poids du corps d'une personne

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EP3746025A1 true EP3746025A1 (fr) 2020-12-09

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US (1) US11357693B2 (fr)
EP (1) EP3746025A1 (fr)
JP (1) JP2021513380A (fr)
KR (1) KR20200113190A (fr)
CN (1) CN111615375A (fr)
AU (1) AU2019214770A1 (fr)
CA (1) CA3087913A1 (fr)
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WO (1) WO2019149317A1 (fr)

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CN113440347A (zh) * 2021-01-11 2021-09-28 宁波市第九医院 一种集成非接触式心肺功能实时监测及评估的电动起立床
DE102021101293B4 (de) 2021-01-21 2022-07-28 ReActive Robotics GmbH Entlastungssystem zur wenigstens teilweisen Entlastung des Körpergewichts einer Person

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CN111615375A (zh) 2020-09-01
US11357693B2 (en) 2022-06-14
AU2019214770A1 (en) 2020-06-25
US20210038464A1 (en) 2021-02-11
CA3087913A1 (fr) 2019-08-08
WO2019149317A1 (fr) 2019-08-08
JP2021513380A (ja) 2021-05-27
KR20200113190A (ko) 2020-10-06
DE102018102179A1 (de) 2019-08-01

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