WO2015162391A1 - Orthopaedic positioning device - Google Patents

Orthopaedic positioning device Download PDF

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Publication number
WO2015162391A1
WO2015162391A1 PCT/FR2015/051114 FR2015051114W WO2015162391A1 WO 2015162391 A1 WO2015162391 A1 WO 2015162391A1 FR 2015051114 W FR2015051114 W FR 2015051114W WO 2015162391 A1 WO2015162391 A1 WO 2015162391A1
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WO
WIPO (PCT)
Prior art keywords
seat
wedges
base
positioning device
foam
Prior art date
Application number
PCT/FR2015/051114
Other languages
French (fr)
Inventor
Richard JUSZKIEWICZ
Edouard Juszkiewicz
Original Assignee
Recfrance
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 Recfrance filed Critical Recfrance
Priority to EP15725793.2A priority Critical patent/EP3134051B1/en
Publication of WO2015162391A1 publication Critical patent/WO2015162391A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1043—Cushions specially adapted for wheelchairs
    • A61G5/1045—Cushions specially adapted for wheelchairs for the seat portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1091—Cushions, seats or abduction devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A61G5/124—Rests specially adapted therefor, e.g. for the head or the feet for pelvis or buttocks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00—Devices for specific treatment or diagnosis
    • A61G2210/10—Devices for specific treatment or diagnosis for orthopedics

Definitions

  • the invention relates to an orthopedic positioning device, in particular for a wheelchair adapted to the user's morphology, the seat of which is maintained in an anatomically correct position, so that it does not cause any fatigue phenomenon or produce any deformation of the patient.
  • spine that can cause lordosis, kyphosis, pelvic tilts, pelvic obliquities, pelvic rotations or other deformities of the skeleton, or pressure ulcers and allows for postural stability and comfort.
  • the invention provides a custom seat quickly adjustable to the user.
  • the invention relates to a seat which can be manufactured in series and which presents for most conformations of the bed of orthopedic correct adaptation conditions.
  • the invention also prevents bedsores.
  • the shape of the seat obtained can not simply adapt to the comfort requirements sought during the sitting position of the user.
  • the patent FR 2 737 433 proposes a method of manufacturing by molding a seat, in particular an orthopedic seat for the disabled. This method allows to marry the morphology of the user.
  • Patent EP 2053943 also discloses a molded seat which conforms to the user's sitting anatomy.
  • EP 1 131030 proposes a method of manufacture by adding several inserts on each other, so that it corresponds to the morphology of the user.
  • Processes having padded support areas and a pressure control system.
  • the patent FR 2,536,975 describes seats including motor vehicles with pressure adjustment systems on the lateral and dorsal supports of the human trunk.
  • Methods of manufacture are known by adding shims so that the shims conform to the morphology of the user's seat.
  • the Carpenter Handipose kit offers different shims to position the user.
  • the invention therefore relates to an orthopedic positioning device that can be positioned easily and provides a single seat for each user.
  • the invention provides different wedges, including pelvic wedges, abduction wedges and adduction shims, stackable, positioned on predefined locations on a seat or base, the assembly being positioned on an adjustable mounting plate d front to back, characterized in that these stackable elements promote good stability and allow a better distribution of pressures at the seat-seat interface.
  • These items are used by the health care professional, including an occupational therapist and a physiotherapist, to take measurements that are passed on to the manufacturer who will mill the final seat in a block of closed-cell closed-cell foam made of polyethylene or any other kind of foams. This block will then be covered with a cover promoting better hygiene to the user. The user will get his unique seat. The holds may be used for other users by the health professional.
  • Figure 1 is a perspective view of the seat with all the shims to position on the seat.
  • Figure 2 is a perspective view of the milled seat.
  • FIG. 1 shows a seat composed of a closed cell cross-linked foam made of square polyethylene of dimension 400 mm long by 400 mm wide and 50 mm thick, with a location provided for inserts at the level of the ischions (6 on Figure 1).
  • Three ergonomic adduction shims of 2 cm in height each, stackable, secured by Velcro, stalling at the thighs (3,4 in Figure 1) are placed on the square foam.
  • the dimensions of these ergonomic wedges will be, for example, 160 mm in length for each, flared by about 30 ° on the thighs side, with a width that varies linearly from 50 mm to the base of the lowest wedge at 15 mm at the top of the the highest wedge, and a radiated back to fit the shape of the buttocks, to have a maximum width of 80 mm at the base of the lowest hold, 45 mm at the top of the highest hold.
  • Three ergonomic wedges of 2 cm height each on the left, three ergonomic wedges of 2 cm height each on the right, stackable, secured by Velcro, stalling at the pelvic level, preventing lateral sliding and rotation of the pelvis (1, 2 in Figure 1) are then placed on the square foam.
  • wedges coming under the seat under one of the four sides of the square. These wedges have different thicknesses. They allow tilting, either to the left, to the right, forward or backward of the entire seat. These wedges are positioned such that they occupy half of the basic square 400 mm by 400 mm or 500 mm by 500 mm, that is 200 mm or 250 mm.
  • wedges of obliquity coming under the seat, at an angle of the square.
  • These shims have different thicknesses, for example 20 mm, 40 mm or 60 mm. They allow oblique inclination of the whole of the seat.
  • inserts for ischia positioned between the pelvic wedges, adduction and abduction.
  • inserts may be foam, viscoelastic polyurethane gel, pneumatic cells with at least one inflation zone, or several inflation zones or with all types of materials or with all types of inserts to support the ischia.
  • the measurements corresponding to the location of each of the elements will be sent to the manufacturer to mill a block of closed-cell reticulated foam. made of polyethylene corresponding to the user.
  • This block of foam will then be covered by a cover whose part in contact with the user will be waterproofed elastane fiber stretched in length and width to ensure better hygiene and the part in contact with the device will be made of flexible foam type polyether, high resilience polyurethane foam or 5 mm thick viscoelastic foam.
  • the invention will then be advantageously completed by a curved back, dug at the spine to avoid the points of support and equipped with adjustable trunk wedges width. It will also be possible to install pressure sensors on the seat, or on each of the wedges of the seat, or on the backrest when taking measurements in order to refine the adjustment of the elements.
  • the invention will be installed on a mounting plate which is adjustable from front to back (7 in Figure 1).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention relates to an orthopaedic positioning device especially for a wheelchair, comprising different wedges, especially pelvic wedges (1,2), adduction wedges (3,4), and abduction wedges (5), which are stackable and positioned in pre-defined areas on a seat or base (6), the assembly being positioned on a securing plate (7) that can be adjusted from the front to the rear, characterised in that said stackable elements allow good stability and a better distribution of pressure where the person's rear meets the seat.

Description

DISPOSITIF DE POSITIONNEMENT ORTHOPEDIQUE  ORTHOPEDIC POSITIONING DEVICE
L'invention concerne un dispositif de positionnement orthopédique notamment pour fauteuil roulant adapté à la morphologie de l'utilisateur dont le séant est maintenu dans une position anatomiquement correcte, si bien qu'il n'occasionne aucun phénomène de fatigue ni ne produit de déformation de la colonne vertébrale susceptible de provoquer des lordoses, des cyphose, des bascules du bassin, des obliquités pelviennes, des rotations du bassin ou autres déformations du squelette, ou d'escarres et permet une stabilité posturale assise et du confort. The invention relates to an orthopedic positioning device, in particular for a wheelchair adapted to the user's morphology, the seat of which is maintained in an anatomically correct position, so that it does not cause any fatigue phenomenon or produce any deformation of the patient. spine that can cause lordosis, kyphosis, pelvic tilts, pelvic obliquities, pelvic rotations or other deformities of the skeleton, or pressure ulcers and allows for postural stability and comfort.
L'invention propose un siège personnalisé rapidement ajustable à l'utilisateur.  The invention provides a custom seat quickly adjustable to the user.
L'invention concerne un siège susceptible d'être fabriqué en série et qui présente pour la plupart des conformations du séant des conditions d'adaptation correctes sur le plan orthopédique. L'invention prévient également les escarres.  The invention relates to a seat which can be manufactured in series and which presents for most conformations of the bed of orthopedic correct adaptation conditions. The invention also prevents bedsores.
On a déjà essayé de conformer les sièges à la constitution anatomique de l'utilisateur, la forme du siège obtenu ne peut pas s'adapter simplement aux exigences de confort recherchées au cours de la position assise de l'utilisateur.  It has already been tried to conform the seats to the anatomical constitution of the user, the shape of the seat obtained can not simply adapt to the comfort requirements sought during the sitting position of the user.
On connaît déjà des procédés de fabrication de siège par moulage. Le brevet FR 2 737 433 propose un procédé de fabrication par moulage d'un siège, notamment d'un siège orthopédique pour handicapés. Ce procédé permet d'épouser la morphologie de l'utilisateur.  Methods of manufacturing a seat by molding are already known. The patent FR 2 737 433 proposes a method of manufacturing by molding a seat, in particular an orthopedic seat for the disabled. This method allows to marry the morphology of the user.
Le brevet EP 2053943 décrit également un siège fabriqué par moulage qui épouse l'anatomie du séant de l'utilisateur.  Patent EP 2053943 also discloses a molded seat which conforms to the user's sitting anatomy.
On connaît des procédés de fabrication en ajoutant des inserts. Le brevet EP 1 131030 propose un procédé de fabrication en ajoutant plusieurs inserts les uns sur les autres, de telle sorte que cela corresponde à la morphologie de l'utilisateur.  Processes of manufacture are known by adding inserts. EP 1 131030 proposes a method of manufacture by adding several inserts on each other, so that it corresponds to the morphology of the user.
On connaît des procédés de fabrication comportant des zones d'appuis recouvertes de rembourrage et d'un système de réglage de pression. Le brevet FR 2 536 975 décrit des sièges notamment pour véhicules automobiles avec des systèmes de réglage de pression sur les appuis latéraux et dorsaux du tronc humain. On connaît des procédés de fabrication en ajoutant des cales de telle sorte que celle-ci épousent la morphologie du séant de l'utilisateur. Le kit Handipose de la société Carpenter propose différentes cales pour positionner l'utilisateur. Processes are known having padded support areas and a pressure control system. The patent FR 2,536,975 describes seats including motor vehicles with pressure adjustment systems on the lateral and dorsal supports of the human trunk. Methods of manufacture are known by adding shims so that the shims conform to the morphology of the user's seat. The Carpenter Handipose kit offers different shims to position the user.
On connaît des procédés de fabrication de coussins de forme standard, contenant de l'air, du gel.  Methods of making standard shaped cushions containing air and gel are known.
L'ensemble de ces procédés permet de fabriquer des sièges adaptés, soit en prenant des mesures directement sur l'utilisateur par le professionnel de santé qui transmettra ces informations au fabricant qui fabriquera le siège, avec l'inconvénient de mesures imparfaitement adaptées à chaque utilisateur, soit en utilisant un système de cales accrochés par des velcros, recouvertes d'une housse, avec le risque de décrocher ces cales lors par exemple d'un lavage et d'utiliser de nouvelles cales pour chaque utilisateur.  All of these methods make it possible to manufacture adapted seats, either by taking measurements directly on the user by the health professional who will transmit this information to the manufacturer who manufactures the seat, with the disadvantage of measures imperfectly adapted to each user. either by using a system of wedges hooked by Velcro, covered with a cover, with the risk of unhooking these wedges during eg washing and use new holds for each user.
L'invention a donc pour objet un dispositif de positionnement orthopédique qui puisse être positionné facilement et propose un siège unique pour chaque utilisateur.  The invention therefore relates to an orthopedic positioning device that can be positioned easily and provides a single seat for each user.
A cet effet, l'invention prévoit différentes cales, notamment cales pelviennes, cales d'abduction et cales d'adduction, empilables, positionnées sur des emplacements prédéfinis sur une assise ou embase, l'ensemble étant positionné sur un plateau de fixation réglable d'avant en arrière, caractérisé par le fait que ces éléments empilables favorisent une bonne stabilité et permettent une meilleure distribution des pressions à l'interface séant-siège. Ces éléments sont utilisés par le professionnel de la santé, notamment un ergothérapeute et un kinésithérapeute, pour prendre des mesures qui sont transmises au fabricant qui fraisera l'assise finale dans un bloc de mousse réticulée à cellules fermées faite de polyéthylène ou toutes autres sortes de mousses. Ce bloc sera ensuite recouvert d'une housse favorisant une meilleure hygiène à l'utilisateur. L'utilisateur obtiendra donc son assise unique. Les cales pourront être utilisées pour d'autres utilisateurs par le professionnel de santé.  To this end, the invention provides different wedges, including pelvic wedges, abduction wedges and adduction shims, stackable, positioned on predefined locations on a seat or base, the assembly being positioned on an adjustable mounting plate d front to back, characterized in that these stackable elements promote good stability and allow a better distribution of pressures at the seat-seat interface. These items are used by the health care professional, including an occupational therapist and a physiotherapist, to take measurements that are passed on to the manufacturer who will mill the final seat in a block of closed-cell closed-cell foam made of polyethylene or any other kind of foams. This block will then be covered with a cover promoting better hygiene to the user. The user will get his unique seat. The holds may be used for other users by the health professional.
Dans ce qui suit, l'invention est expliquée plus en détail à l'aide d'un exemple d'exécution du siège illustré par le dessin dans lequel : La figure 1 est une vue en perspective du siège avec l'ensemble des cales à positionner sur l'assise. In the following, the invention is explained in more detail with the aid of an exemplary embodiment of the seat illustrated by the drawing in which: Figure 1 is a perspective view of the seat with all the shims to position on the seat.
La figure 2 est une vue en perspective de l'assise fraisée.  Figure 2 is a perspective view of the milled seat.
La figure 1 représente un siège composé d'une mousse réticulée à cellules fermées faite de polyéthylène carrée de dimension 400 mm de long par 400 mm de large et 50 mm d'épaisseur, avec emplacement prévu pour des inserts au niveau des ischions (6 sur la figure 1 ).  FIG. 1 shows a seat composed of a closed cell cross-linked foam made of square polyethylene of dimension 400 mm long by 400 mm wide and 50 mm thick, with a location provided for inserts at the level of the ischions (6 on Figure 1).
Différents rajouts en forme de rectangle sont ajoutés à la mousse réticulée, permettant d'obtenir une dimension de 500 mm de long par 500 mm de large et 50 mm d'épaisseur.  Various rectangle-shaped additions are added to the cross-linked foam, making it possible to obtain a dimension of 500 mm long by 500 mm wide and 50 mm thick.
Trois cales d'adduction ergonomiques de 2 cm de hauteur chacune, empilables, solidarisées par velcro, venant caler au niveau des cuisses (3,4 sur la figure 1 ) sont placées sur la mousse carrée. Les dimensions de ces cales ergonomiques seront, par exemple, de longueur 160 mm pour chacune, évasées d'environ 30° du côté cuisses, de largeur variant linéairement de 50 mm à la base de la cale la plus basse à 15 mm au sommet de la cale la plus haute, et un retour arrière rayonné pour épouser la forme des fesses, pour avoir une largeur maximale de 80 mm à la base de la cale la plus basse, 45 mm au sommet de la cale la plus haute.  Three ergonomic adduction shims of 2 cm in height each, stackable, secured by Velcro, stalling at the thighs (3,4 in Figure 1) are placed on the square foam. The dimensions of these ergonomic wedges will be, for example, 160 mm in length for each, flared by about 30 ° on the thighs side, with a width that varies linearly from 50 mm to the base of the lowest wedge at 15 mm at the top of the the highest wedge, and a radiated back to fit the shape of the buttocks, to have a maximum width of 80 mm at the base of the lowest hold, 45 mm at the top of the highest hold.
Trois cales ergonomiques de 2 cm de hauteur chacune à gauche, trois cales ergonomiques de 2 cm de hauteur chacune à droite, empilables, solidarisées par velcro, venant caler au niveau pelvien, empêchant le glissement latéral ainsi que la rotation du bassin (1 ,2 sur la figure 1 ) sont ensuite placées sur la mousse carrée.  Three ergonomic wedges of 2 cm height each on the left, three ergonomic wedges of 2 cm height each on the right, stackable, secured by Velcro, stalling at the pelvic level, preventing lateral sliding and rotation of the pelvis (1, 2 in Figure 1) are then placed on the square foam.
Trois cales d'abduction ergonomique de 2 cm de hauteur venant se placer entre les cuisses, permettant d'épouser les formes inférieures et intérieures de la cuisse (5 sur la figure 1 ) sont enfin placées sur la mousse carrée.  Three wedges of ergonomic abduction 2 cm in height between the thighs to marry the lower and inner thigh (5 in Figure 1) are finally placed on the square foam.
A cela se rajoutent des cales d'inclinaison, venant se mettre sous l'assise, sous un des quatre côtés du carré. Ces cales ont différentes épaisseurs. Elles permettent l'inclinaison, soit vers la gauche, vers la droite, en avant ou en arrière de l'ensemble de l'assise. Ces cales sont positionnés de telle sorte qu'elles occupent la moitié du carré de base 400 mm par 400 mm ou 500 mm par 500 mm, soit 200 mm ou 250 mm. Added to this are sloping wedges, coming under the seat under one of the four sides of the square. These wedges have different thicknesses. They allow tilting, either to the left, to the right, forward or backward of the entire seat. These wedges are positioned such that they occupy half of the basic square 400 mm by 400 mm or 500 mm by 500 mm, that is 200 mm or 250 mm.
A cela se rajoutent des cales d'obliquité, venant se mettre sous l'assise, sous un angle du carré. Ces cales ont différentes épaisseurs, par exemple 20 mm, 40 mm ou 60 mm. Elles permettent l'inclinaison oblique de l'ensemble de l'assise.  Added to this are wedges of obliquity, coming under the seat, at an angle of the square. These shims have different thicknesses, for example 20 mm, 40 mm or 60 mm. They allow oblique inclination of the whole of the seat.
A cela se rajoutent différents inserts pour ischions positionnés entre les cales pelviennes, d'adduction et d'abduction. Ces inserts pourront être en mousse, en gel viscoélastique de polyuréthane, à cellules pneumatiques avec au moins une zone de gonflage, ou plusieurs zones de gonflage ou avec tous types de matières ou avec tous types d'inserts permettant de soutenir les ischions.  Added to this are various insertions for ischia positioned between the pelvic wedges, adduction and abduction. These inserts may be foam, viscoelastic polyurethane gel, pneumatic cells with at least one inflation zone, or several inflation zones or with all types of materials or with all types of inserts to support the ischia.
Ces inserts couvrent la surface du séant, et reviennent légèrement sous les cuisses de 33 % de la distance restante entre les ischions et le bord du coussin.  These inserts cover the surface of the bed, and return slightly under the thighs by 33% of the remaining distance between the ischia and the edge of the cushion.
Tous les éléments décrits s'imbriquent et sont recouverts d'un tissu agrippant, permettant la solidarisation par velcro. Des repères sont visibles sur l'assise carrée, et seront reportés dans la fiche de mesure ainsi que les cales choisies, pour connaître l'emplacement souhaité.  All the elements described overlap and are covered with a gripping fabric, allowing the fastening Velcro. Marks are visible on the square seat, and will be reported in the measurement sheet and the chocks chosen, to know the desired location.
Une fois les éléments imbriqués en fonction de la morphologie de l'utilisateur avec le concours de l'ergothérapeute et du kinésithérapeute, les mesures correspondant à l'emplacement de chacun des éléments seront envoyées au fabricant pour fraiser un bloc de mousse réticulée à cellules fermées faite de polyéthylène correspondant à l'utilisateur. Ce bloc de mousse sera ensuite recouvert par une housse dont la partie en contact avec l'utilisateur sera en fibre d'élasthanne imperméabilisée extensible en longueur et en largeur pour assurer une meilleure hygiène et la partie en contact avec le dispositif sera en mousse souple type polyether, mousse polyuréthanne haute résilience ou mousse viscoélastique de 5 mm d'épaisseur.  Once the elements are nested according to the morphology of the user with the assistance of the occupational therapist and the physiotherapist, the measurements corresponding to the location of each of the elements will be sent to the manufacturer to mill a block of closed-cell reticulated foam. made of polyethylene corresponding to the user. This block of foam will then be covered by a cover whose part in contact with the user will be waterproofed elastane fiber stretched in length and width to ensure better hygiene and the part in contact with the device will be made of flexible foam type polyether, high resilience polyurethane foam or 5 mm thick viscoelastic foam.
L'invention sera ensuite avantageusement complétée par un dossier galbant, creusé au niveau de la colonne vertébrale pour éviter les points d'appuis et équipé de cales tronc réglables en largeur. On pourra également installer des capteurs de pression sur l'assise, ou sur chacune des cales de l'assise, ou sur le dossier lors de la prise de mesures afin d'affiner le réglage des éléments. The invention will then be advantageously completed by a curved back, dug at the spine to avoid the points of support and equipped with adjustable trunk wedges width. It will also be possible to install pressure sensors on the seat, or on each of the wedges of the seat, or on the backrest when taking measurements in order to refine the adjustment of the elements.
L'invention sera installée sur un plateau de fixation qui est réglable d'avant en arrière (7 sur la figure 1 ).  The invention will be installed on a mounting plate which is adjustable from front to back (7 in Figure 1).

Claims

REVENDICATIONS
1 . Dispositif de positionnement orthopédique notamment pour fauteuil roulant comportant une assise ou embase et différentes cales, notamment cales pelviennes, cales d'adduction et cales d'abduction, caractérisé en ce que les cales sont des cales empilables et sont positionnées sur des emplacements prédéfinis sur l'assise ou embase. 1. Orthopedic positioning device, in particular for a wheelchair, comprising a seat or base and various wedges, in particular pelvic wedges, adduction wedges and abduction wedges, characterized in that the wedges are stackable wedges and are positioned on predefined positions on the ground. 'seat or base.
2. Dispositif de positionnement orthopédique selon la revendication 1 , caractérisé par le fait que les cales s'imbriquent et sont recouvertes d'un tissu agrippant, permettant la solidarisation par velcro.  2. Orthopedic positioning device according to claim 1, characterized in that the wedges interlock and are covered with a gripping fabric, allowing the fastening Velcro.
3. Dispositif de positionnement orthopédique selon la revendication 2, caractérisé par le fait que des repères sont visibles sur l'assise ou embase.  3. Orthopedic positioning device according to claim 2, characterized in that marks are visible on the seat or base.
4. Dispositif de positionnement selon l'une des revendications 1 à 3, caractérisé en ce que l'ensemble formé par l'assise ou embase et les cales est fixé sur un plateau de fixation réglable d'avant en arrière.  4. Positioning device according to one of claims 1 to 3, characterized in that the assembly formed by the seat or base and the shims is fixed on a fixing plate adjustable from front to back.
5. Procédé de réalisation d'un siège sur mesure, caractérisé en ce qu'il comporte les étapes suivantes :  5. A method of producing a custom seat, characterized in that it comprises the following steps:
- fournir un dispositif selon la revendication 4,  - provide a device according to claim 4,
- positionner les cales sur l'assise ou embase pour en déduire des mesures,  - position the shims on the seat or base to deduce measures,
- report dans une fiche de mesure des repères visibles sur l'assise ou embase, ainsi que des cales choisies, pour connaître l'emplacement souhaité, et  - Transfer in a measurement card of the marks visible on the seat or base, as well as wedges chosen, to know the desired location, and
- fabrication d'un siège en mousse à partir des mesures réalisées.  - manufacture of a foam seat from the measurements made.
6. Procédé selon la revendication 5, caractérisé en ce qu'il comporte en outre une étape au cours de laquelle un insert pour ischions est positionné entre les cales pelviennes, d'adduction et d'abduction.  6. Method according to claim 5, characterized in that it further comprises a step during which an insert for ischia is positioned between the pelvic wedges, adduction and abduction.
7. Procédé selon la revendication 6, caractérisé en ce qu'il comporte en outre une étape dans laquelle le siège sur mesure est recouvert d'une housse ajustable aux différentes formes dont la partie en contact avec l'utilisateur sera en fibre d'élasthanne imperméabilisée extensible en longueur et en largeur. 7. The method of claim 6, characterized in that it further comprises a step in which the custom seat is covered with a cover adjustable to different shapes whose part in contact with the user will be elastane fiber waterproofed expandable in length and width.
8. Procédé selon la revendication 7, caractérisé en ce qu'il comporte en outre une étape au cours de laquelle des capteurs de pression sont installés sur un ou plusieurs des éléments. 8. The method of claim 7, characterized in that it further comprises a step during which pressure sensors are installed on one or more of the elements.
9. Procédé selon la revendication 6, caractérisé par le fait que l'insert peut être en mousse, en gel viscoélastique de polyuréthane, à cellules pneumatiques avec au moins une zone de gonflage, ou plusieurs zones de gonflage, ou avec tous types de matière permettant de soutenir les ischions.  9. Method according to claim 6, characterized in that the insert can be foam, viscoelastic polyurethane gel, pneumatic cells with at least one inflation zone, or several inflation zones, or with all types of material. to support ischia.
10. Procédé selon la revendication 9, caractérisé en ce qu'il comporte en outre une étape au cours de laquelle un dossier galbant est ajouté permettant de s'adapter au plus près de la forme du dos grâce à un système de cales- tronc réglable.  10. The method of claim 9, characterized in that it further comprises a step during which a curved backrest is added to fit closer to the shape of the back with an adjustable trunk system-trunk .
PCT/FR2015/051114 2014-04-25 2015-04-23 Orthopaedic positioning device WO2015162391A1 (en)

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FR1453772A FR3020268B1 (en) 2014-04-25 2014-04-25 ORTHOPEDIC POSITIONING DEVICE
FR1453772 2014-04-25

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IT202000003056A1 (en) * 2020-02-17 2021-08-17 Raffaele Grosso Modular postural control system.
US11819138B2 (en) 2018-02-27 2023-11-21 Roger Thomas Mascull And Elizabeth Jocelyn Mascull As Trustees Of The Rt And Ej Mascull Family Trust Seating support

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FR2536975A1 (en) 1982-12-07 1984-06-08 Renault ADJUSTABLE ORTHOPEDIC SEAT, ESPECIALLY FOR MOTOR VEHICLES
FR2737433A1 (en) 1995-08-02 1997-02-07 Maillet Orthopedie Sarl Seat moulding procedure, esp. for orthopaedic seat for handicapped person - uses rigid shell covered by supple film layer and filled with expanding and solidifying foam
EP0792604A1 (en) * 1996-02-29 1997-09-03 Colm Campbell Apparatus and method for use in the design of othopaedic chairs
EP1131030A1 (en) 1998-11-16 2001-09-12 Invacare Corporation Customizable seat cushion and positioning assembly including pressure compensation inserts
EP2053943A1 (en) 2006-08-08 2009-05-06 Sunrise Medical HHG Inc. Pathology related individual modular orthopedic seating system
WO2011148329A1 (en) * 2010-05-26 2011-12-01 Pro Medicare S.R.L. Postural system

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Publication number Priority date Publication date Assignee Title
FR2536975A1 (en) 1982-12-07 1984-06-08 Renault ADJUSTABLE ORTHOPEDIC SEAT, ESPECIALLY FOR MOTOR VEHICLES
FR2737433A1 (en) 1995-08-02 1997-02-07 Maillet Orthopedie Sarl Seat moulding procedure, esp. for orthopaedic seat for handicapped person - uses rigid shell covered by supple film layer and filled with expanding and solidifying foam
EP0792604A1 (en) * 1996-02-29 1997-09-03 Colm Campbell Apparatus and method for use in the design of othopaedic chairs
EP1131030A1 (en) 1998-11-16 2001-09-12 Invacare Corporation Customizable seat cushion and positioning assembly including pressure compensation inserts
EP2053943A1 (en) 2006-08-08 2009-05-06 Sunrise Medical HHG Inc. Pathology related individual modular orthopedic seating system
WO2011148329A1 (en) * 2010-05-26 2011-12-01 Pro Medicare S.R.L. Postural system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11819138B2 (en) 2018-02-27 2023-11-21 Roger Thomas Mascull And Elizabeth Jocelyn Mascull As Trustees Of The Rt And Ej Mascull Family Trust Seating support
IT202000003056A1 (en) * 2020-02-17 2021-08-17 Raffaele Grosso Modular postural control system.
WO2021166003A1 (en) 2020-02-17 2021-08-26 Raffaele Grosso Modular postural control system.

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FR3020268A1 (en) 2015-10-30
FR3020268B1 (en) 2022-05-27
EP3134051B1 (en) 2022-01-19
EP3134051A1 (en) 2017-03-01

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