MEDICAL DEVICE FOR PRODUCING A DATA MODEL OF A LIMB STUMP, SET, METHOD AND RETAINING STOCKING OR SENSOR ASSEMBLY
20210128327 · 2021-05-06
Assignee
Inventors
Cpc classification
A61F2002/5053
HUMAN NECESSITIES
A61F2/5046
HUMAN NECESSITIES
International classification
Abstract
A medical apparatus for use in generating a data model of a limb stump is provided, wherein the apparatus includes at least a pressure vessel with a fluid chamber or a pressure chamber for receiving or storing a fluid, wherein the pressure vessel includes a wall made of a first material, wherein the wall limits an interior of the pressure vessel against an exterior, and wherein the pressure vessel includes an insertion opening for inserting the limb stump into the interior of the pressure vessel. The apparatus further includes a fluid-impermeable membrane made of a second material and arranged to form or limit the fluid chamber or the pressure chamber. Furthermore, the apparatus comprises an adherent stocking or another sensor arrangement, to be pulled over the limb stump, wherein the adherent stocking includes sensors for generating the data model.
Claims
1. A medical apparatus for use in generating a data model of a limb stump, in particular of a lower leg stump; wherein the apparatus comprises at least: a pressure vessel with a fluid chamber or a pressure chamber for receiving or storing a fluid, in particular one being under pressure, wherein the pressure vessel comprises a wall made of a first material, wherein the wall limits an interior of the pressure vessel against an exterior, wherein the pressure vessel comprises an insertion opening for inserting the limb stump into the interior of the pressure vessel; and a fluid-impermeable membrane made of a second material, which membrane is arranged to form or limit the fluid chamber or the pressure chamber; and an adherent stocking or another sensor arrangement, to be pulled over the limb stump, wherein the adherent stocking or the sensor arrangement comprises sensors for generating the data model.
2. The medical apparatus according to claim 1, wherein the sensors are at least one of magnetic and metallic particles.
3. The medical apparatus according to claim 1, wherein the sensors are position sensors.
4. The medical apparatus according to claim 1, wherein the pressure vessel is at least partially made of plastic.
5-13. (canceled)
14. The medical apparatus according to claim 1, having an arrangement of sensors, wherein the sensors are suitable to capture data over the surface of a limb stump, and wherein the arrangement of the sensors is star-shaped.
15. The medical apparatus according to claim 1, having an arrangement of sensors, wherein the sensors are suitable to capture data over the surface of a limb stump, and wherein the sensors are elongated and are arranged lengthwise in rows or chains.
16. (canceled)
17. A set having at least one medical apparatus according to claim 1; and at least one of a transmitting device for transmitting and a receiving device for receiving signals of the sensors present in the adherent stocking or in the sensor arrangement.
18. The set according to claim 17, having at least one of a signal processing device for processing the signals of the sensors, and an evaluating device for evaluating the signals of the sensors.
19. A method for generating a data model of a limb stump, the method encompassing the steps: providing a medical apparatus according to claim 1; detecting signals of the adherent stocking or of the sensor arrangement; generating a data model of the limb stump.
20. The method according to claim 19, encompassing the further step of transferring the data model to a production facility for producing a prosthesis stump.
21. The method according to claim 20, wherein the production facility is a 3D printer or a milling machine.
22. An adherent stocking or sensor arrangement to cover or to be pulled over a limb stump, wherein the adherent stocking or the sensor arrangement comprises sensors for generating a data model.
23. (canceled)
24. The adherent stocking or sensor arrangement according to claim 22, wherein at least one of the adherent stocking and the arrangement of the sensors on the adherent stocking or on the sensor arrangement are star-shaped.
25. The adherent stocking or sensor arrangement according to claim 22, wherein the sensors are elongated and are arranged lengthwise in rows or chains.
26. (canceled)
27. The adherent stocking or sensor arrangement according to claim 22, wherein at least one of the adherent stocking and the arrangement of the sensors is connected to a retaining device.
28. The adherent stocking or sensor arrangement according to claim 22, wherein the adherent stocking comprises an arrangement of sensors.
29. The adherent stocking or sensor arrangement according to claim 22, having strap-shaped sections, wherein at least some of the sensors are present on the strap-shaped sections.
30. The adherent stocking or sensor arrangement according to claim 29, wherein at least some of the strap-shaped sections, which carry sensors, are connected to each other preferably at their ends, however in other sections they are spaced apart from the adjacent strap-shaped sections.
31. The adherent stocking or sensor arrangement according to claim 29, wherein at least some of the strap-shaped sections are connected to at least one further strap-shaped section in a hinged manner.
32. The method according to claim 19, further comprising: rotating the adherent stocking or the sensor arrangement about its longitudinal axis, for instance about a midpoint, and again detecting signals from sensors of the adherent stocking or of the sensor arrangement.
Description
[0215] In the following, the present invention is exemplarily explained with regard to the accompanying drawings in which identical reference numerals refer to the same or similar elements. In the partly highly simplified figures, the following applies:
[0216]
[0217]
[0218]
[0219]
[0220]
[0221]
[0222]
[0223]
[0224]
[0225]
[0226]
[0227]
[0228]
[0229] The pressure vessel 1, shown in
[0230] The membrane 5 separates, in a fluid-tight manner, a fluid chamber or pressure chamber DK of the pressure vessel 1 from an exterior of the fluid chamber or pressure chamber DK, or exemplarily from the exterior A, i.e., a surrounding of the pressure vessel 1, or, as shown in
[0231] The membrane 5 may be fluid-tight connected to the pressure vessel 1 at an upper, usually ring-shaped, rectangular, square or differently shaped circumferential edge 7 of the wall 3, or at another site.
[0232] The upper edge or rim 7 is situated in a plane in which there is an insertion opening 9 of the pressure vessel 1 or it delimits said insertion opening 9 at its circumference. The insertion opening 9 is situated in the plane which is indicated with a dashed line.
[0233] The insertion opening 9 serves for inserting the limb stump KS, which is optionally wrapped with the adherent stocking 215, into an interior I of the pressure vessel 1.
[0234] The interior I is the volume delimited by the wall 3 of the pressure vessel 1. It extends from the second end side 4, which is fluid-tightly sealed by the bottom surface 4a, to the insertion opening denoted with 9 and indicated by a dashed line.
[0235] The pressure chamber DK is filled with a fluid, here exemplarily with liquid F indicated by points. A filling with gas is also contemplated or covered by the present invention.
[0236] In
[0237] The limb stump KS is preferably weighted or pressed with the full body weight of the standing patient. The amount of the liquid F is measured with regard to the known volume of the interior I or the pressure vessel 1 such that the limb stump KS may enter through the insertion opening 9 into the pressure vessel 1 at least so deep or far that the entire area of the adherent stocking 215 contacts the membrane 5; at least as much as it is relevant for generating a data model of the limb stump KS. At the same time, the amount of liquid F is optionally measured such that the distal end of the limb stump KS (at the bottom in
[0238] As is shown in the figure, the membrane 5, when no limb stump KS is inserted into the pressure vessel 1, lifts up or floats due to the pressure of the fluid, here of the liquid, and a liquid level is established (not shown in
[0239] It is further to be seen in
[0240] As is seen in
[0241] In exemplary embodiments of the present invention unlike those shown in
[0242] The pressure vessel 1, shown in
[0243] The adherent stocking 215 comprises optional sensors 225 which are illustrated in a simplified manner in the detail enlargement A as circular points. The sensors 225 are arranged in the adherent stocking 215 purely exemplarily equidistant from each other, but may likewise not be arranged equidistant and/or be arranged in another arrangement, for example on the inner side and/or on the outer side of the adherent stocking 215. For example, the sensors 225 may be arranged closer to each other in the distal end area (in
[0244] The sensors 225 may be active or passive sensors. Active sensors 225 may themselves transmit signals 227 (indicated as wavefront) without having to be activated from the outside. Active sensors may comprise a power supply, for example, they are powered by cables or by power storage elements. Passive sensors 225 may, purely exemplarily, be ferromagnetic iron particles which can be activated (magnetized) by an external magnetic field and subsequently detected.
[0245] The sensors 225 may be position sensors or referred to as such. They may transmit signals 227 which solely or in addition to measuring values indicate the position of the transmitting sensors 225.
[0246] The sensors 225 may be based on different measuring principles, for example as resistive sensors, inductive sensors, magnetic field sensors, magnetoelastic sensors, capacitive sensors, piezoelectric sensors, optoelectronic sensors, electrochemical sensors or temperature sensors. Alternatively and/or additionally, the sensors 225 may be detected as passive particles by mechanical waves (e.g. ultrasound waves) whose signals 227 may be reflected and, using other sensors outside the pressure vessel 1, e.g. piezoelectric transducers, may be converted into electrical signals and further processed.
[0247] By the sensors 225 in the adherent stocking 215, the outer contour of the body stump KS may be determined. Depending on where the sensors 225 are found and where they are arranged in or on the adherent stocking 215, an offset may be determined and included in the further data processing in order to determine the exact outer contour of the limb stump KS. The offset takes into account, for example, the thickness of the adherent stocking 215 and the exact position of the sensors 225 in or on the adherent stocking 215.
[0248] The signals 227 emitted by the sensors 225 may be received by the receiving devices (see
[0249]
[0250] The transmitting and/or receiving device 501 may be designed as a transmitting device 501, as a receiving device 501 or combined as transmitting and receiving device 501. For example, a plurality of transmitting devices 501 for emitting a magnetic field may be arranged on the circumference of the pressure vessel 1. Purely exemplarily, the transmitting device 501, being arranged on the left in
[0251] A plurality of receiving devices 501 may be arranged between the transmitting devices 501, above, below or at another point with respect to the transmitting devices 501 in order to receive signals 227 emitted by the sensors 225, see
[0252] In the signal processing device 503 or the evaluating device 503, the signals 227 which have been captured by the individual sensors 225 may be further processed and evaluated. For example, the singular signals 227, which may be regarded as the so-called vector-based point cloud, may be further processed to form a surface, in particular a 3D surface. For this, known methods (e.g. rendering) are available. A prosthesis shaft may subsequently be produced using these digital data (vector-based point cloud and/or 3D surface), for example using a 3D printer or a milling machine as a production facility.
[0253]
[0254] The membrane 5 is—preferably in its distal, middle or central section or area—connected to a section 51 of the wall 3 or of the end side 4 in a force-fit manner. In the embodiment shown in
[0255] The connector 53 may be a thread, as shown in
[0256] The connector 53 keeps the membrane 5 connected to the pressure vessel 1 or to the bottom surface 4a, preferably in the area of the second end side 4 of the pressure vessel 1, in particular in the area of the bottom surface 4a and preferably in the midpoint thereof, in a force-fit and/or form-fit and/or material manner.
[0257] It is preferred that the connector 53 at least in the state of use of the apparatus 100, that is, when the limb stump KS is inserted into the pressure chamber DK allows a complete or substantially complete flow around the distal end of the limb stump KS. A flow around the limb stump KS is thus still advantageously possible in
[0258] In addition to the connector 53 shown in
[0259] The connection between connector 53 on the one hand and wall 3 or bottom surface 4a on the other hand may be—as the connection, independent thereof, between connector 53 on the one hand and membrane 5 on the other—an adhesive connection, a screw connection, a plug connection, a snap connection a latch connection or the like. It may be releasable or non-releasable.
[0260] The connector shown in
[0261]
[0262] The connecting device 8 may hereby be releasably, in particular adjustably, fixed to the apparatus 100, for example by the screws indicated with “x” in the figure. These may for example extend horizontally and fix the connecting device 8 so firmly to the apparatus 100 such that enough force is generated upwardly in order to tightly connect the membrane 5 with the wall 3 of the apparatus 100, for instance by pressing the membrane 5 from below against the bottom side of the upper edge 7 of the wall 3.
[0263] Advantageously, there are no hard edges/surfaces and/or upwardly protruding screws or other fastening devices along the upper edge 7 of the apparatus caused by said connection of the membrane 5 to the wall 3, thus causing, particularly in the crotch area, pressure points and/or pain or may hurt or cause injury.
[0264] The membrane 5 lies from above on the upper edge 7 of the wall 3. Thus, said membrane 5 acts, in particular when the pressure is increased in the interior I due to inserting the limb stump into the apparatus 100 by which said membrane 5 bulges outwards and above all over or above the upper edge 7, like a cushion on which the patient my rest with parts of his bony pelvis, or at least with which he may come in contact. Therewith, the comfort for user and/or patient may be increased.
[0265]
[0266] The adherent stocking 215 comprises, in an optional embodiment, at least in sections, an elastic material.
[0267] Unlike its representation in
[0268]
[0269]
[0270] In this, it is obvious that preferably the same number of sensors 225 is arranged on one or several cross sections of the limb stump, of the adherent stocking or of the sensor arrangement, preferably in a symmetrical, optionally equidistant, arrangement towards the midpoint of the arrangement M. The midpoint of the arrangement M is herein the point towards which the sensors 225 are aligned. The aforementioned cross sections extend in
[0271] An optional arrangement according to the present invention of the sensors 225 on strap-shaped sections which each may comprise a row or chain of sensors 225 and, moreover, may also correspond to the “rays” of the star-shaped arrangement of the sensors, is indicated in
[0272] A data model of the inserted limb stump may be generated by interpolating the sensor information 227 (not shown in
[0273]
[0274] The further strap-shaped sections 231 may lie over or below the vertically extending strap-shaped sections 229.
[0275]
[0276] The medical apparatus 100 has optionally a sensor arrangement with sensors 225, which are arranged on the vertically extending strap-shaped sections 229, as in the example of
[0277] It can be seen in
[0278]
[0279]
[0280] As can be seen in
[0281] If the patient now inserts his limb stump KS into the insertion opening 9 and thus pushes the strap-shaped sections 229 into the depth of the interior of the apparatus 100, then the retaining device 233 moves upwards. In this, sections of the strap-shaped sections 229, which in
[0282] If the patient enters with the limb stump KS into the insertion opening 9 of the pressure vessel 1, then the retaining device 233 lifts. If he pulls his limb stump KS out again, then the retaining device 233 may sink itself again. This is indicated by the double arrow.
[0283] The retaining device 233 thus ensures a uniform alignment of the sensors 225 left and right or front and rear on the limb stump KS.
[0284]
[0285] Unlike in
[0286] However, the strap-shaped sections 229 merge into a first connecting section 235d or are connected therewith, each at a first end of them (in
[0287] In addition, the strap-shaped sections 229 merge in a second connecting section 235p or are connected therewith each at a second end of them (in
[0288] Between adjacent strap-shaped sections 229 there is respectively a space R. The latter is preferably free, i.e. the front view of the sensor arrangement of
[0289] The space R increases in width from distal to proximal. It becomes therefore preferably wider to the top (with reference to its use state or to
[0290] In this, adjacent spaces R have the same design. Adjacent spaces R may however also be provided in different sizes or widths.
[0291] It is of particular advantage when the design or size of all spaces R is known and stored in a software of the signal processing device.
[0292] The first connecting section 235d and the second connecting section 235p jointly define or determine the respective space R. For this purpose, the first connection section 235d and the second connecting section 235p are not elastic. Thus, the predetermined distance between the adjacent strap-shaped sections 229 remains preferably advantageously unchanged, and the positions of sensors 225, which lie on adjacent strap-shaped sections 229 remain likewise unchanged in this respect. The latter may play an essential role in the evaluation, using the signal processing device 503, of the signals emitted by the sensors 225 and received by the receiving device 503.
[0293] In
[0294]
[0295] In this, the strap-shaped sections 229, which carry sensors 225 are in one or several, e.g. end-sided and/or middle, sections, herein referred to as connecting points 237, connected to at least one other strap-shaped section 229 likewise carrying one or several sensors 225, for instance at least to an adjacent strap-shaped section 229.
[0296] In between such connection points 237, the strap-shaped sections 229 connected therewith, are, however, preferably spaced from adjacent strap-shaped sections 229, indicated by the space R in
[0297] In the example of
[0298] In the example of
[0299] The comparison of
[0300] The concentration of the sensors 225 in longitudinal direction of the limb stump, which is not shown in
LIST OF REFERENCE NUMERALS
[0301] 100 apparatus [0302] 1 pressure vessel [0303] 2 first end side [0304] 3 wall [0305] 4 second end side, may optionally be closed or sealed by the bottom surface or plane [0306] 4a bottom surface or plane [0307] 5 membrane [0308] 7 upper edge [0309] 7a collar [0310] 8 connecting device [0311] 9 insertion opening [0312] 53 connector [0313] 215 adherent stocking [0314] 225 sensors (of the adherent stocking or of the sensor arrangement) [0315] 227 signals/sensor information [0316] 229 strap-shaped section [0317] 231 further strap-shaped section [0318] 233 retaining device [0319] 235d first, distal connecting section [0320] 235p second, proximal connecting section [0321] 237 connecting point [0322] 500 set with apparatus and transmitting device and/or receiving device [0323] 501 transmitting device and/or receiving device [0324] 503 signal processing device and/or signal evaluating device [0325] 505 signal path [0326] DK pressure chamber of the pressure vessel [0327] I pressure vessel interior [0328] F fluid or liquid [0329] A pressure vessel exterior [0330] KS limb stump [0331] M midpoint of the sensor arrangement [0332] R space (or slot or gap)