HOLD-UP DEVICE FOR SECURING LEG OR KNEE BRACES / IMMOBILIZERS
20210137718 ยท 2021-05-13
Inventors
Cpc classification
A61F5/0125
HUMAN NECESSITIES
International classification
Abstract
Hold-up devices for securing a leg brace from sliding or rotating on a patient's leg are provided. In various embodiments, a strap system for securing a leg brace includes at least one strap member for securing the hold-up device to a belt or waistband and includes multiple selectable mechanisms for attachment to a leg brace. In an example use scenario, a hold-up device has an adjustable strap, straps or strap-like member attachable to a belt, waistband or belt-like member around the patient's waist. The example hold-up device is connectable in various ways to the leg brace to prevent the brace from sliding down the patient's leg, from rotating on the patient's leg, or from both sliding and rotating on the patient's leg.
Claims
1. A hold-up device for securing a leg brace, comprising: an adjustable strap, straps or strap-like member attachable to a belt, waistband or belt-like member around a patient's waist, the hold-up device connectable in various ways to the leg brace to keep the brace from sliding down or rotating on the patient's leg or from both sliding and rotating on the patient's leg.
2. The hold-up device of claim 1 wherein the strap-like member has multiple attachment mechanisms on the distal end of the strap-like member to provide various ways of connecting to different locations on a given leg brace or for connecting to various types or models of a leg brace.
3. The hold-up device of claim 2 wherein the multiple attachment mechanisms include a choice of one or more carabiner clips on the strap-like member for connecting to a loop or strap on the leg brace and a clip or a clasp on the strap-like member for grasping material of the given leg brace.
4. The hold-up device of claim 1, further comprising a buckle or an elastic material for adjusting the length or tension of the hold-up device.
5. The hold-up device of claim 1, where an auxiliary piece of the hold-up device is configured to base a lifting force of the hold-up device in alignment with a hip joint or a hip joint plane.
6. An apparatus comprising: a leg support member for immobilizing the user's knee or leg or for bracing the user's knee or leg; a belt member for wrapping around the waist of the user; and at least one strap member configured to secure the leg support member to the belt member through a pivot point aligned on sagittal and transverse planes corresponding to the user's hip joint.
7. The apparatus of claim 6 where the leg support member, the belt member and at least one strap member comprise a single article or appliance.
8. The apparatus of claim 6 where the leg support member, the belt member and at least one strap member comprise separate articles, at least one strap member comprising a first clasp for grasping the leg support member and a second clasp for grasping the belt member at respective clasping locations configured to dispose the strap along the pivot point.
9. The apparatus of claim 6, where at least one strap comprises a 3-way Y strap where the top part of the 3-way Y strap attaches to the belt member at two points and is disposed through a loop, clevis or pulley allowing the loop, clevis or pulley to hang at the pivot point that is aligned on the sagittal and transverse planes of the user's corresponding hip joint; wherein the loop, clevis or pulley is free to move along the top part of the 3-way Y strap; and wherein a bottom part of the 3-way Y strap has first and second ends. The first end secures to the loop, clevis or pulley and the second end secures to the leg support member.
10. The apparatus of claim 9, wherein the top part of the 3-way Y strap is secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley.
11. The apparatus of claim 10, wherein the belt member descends into a V shape at the front centerline of the user's waist and one leg of the top part of the 3-way Y strap attaches to the bottom of the V shape of the belt member.
12. The apparatus of claim 6, wherein at least one strap comprises a 3-way strap. A top part of the 3-way Y strap comprises a single leg member. The first end of the leg member is attachable at one point along the belt member and a second end of the leg member is secured to a loop, clevis or pulley disposed at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user; wherein a bottom part of the 3-way Y strap is disposed through the loop, clevis or pulley and attaches to the leg support member at two locations of the leg support member; and wherein the bottom part of the 3-way Y strap is free to slide with respect to the loop, clevis or pulley to compensate for movement of the user while maintaining the position of the loop, clevis or pulley at the pivot point.
13. The apparatus of claim 12, wherein the top part of the 3-way Y strap is secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley.
14. The apparatus of claim 6, wherein at least one strap comprises a 4-way X strap. The top part of the 4-way X strap attaches at two places on the belt member and the bottom part of the 4-way X strap attached to the top of the leg support member at two places; wherein the top part and the bottom part of the 4-way X strap meet at a single junction at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user; and wherein one or more loops, clevises or pulleys at the single junction between the top and bottom parts of the 4-way X strap allow the top and bottom parts to slide with respect to each other via one or more loops, clevises or pulleys.
15. The apparatus of claim 14, wherein the top part of the 4-way X strap is secured to the bottom part of the 4-way X strap at the pivot point without a loop, clevis or pulley.
16. The apparatus of claim 6, where at least one strap comprises a single strap having first and second ends; the single strap disposed through a loop, clevis or pulley attached to the top aspect of the leg support member; and wherein the first and second ends of the single strap are both attached to the belt member at equal distances and/or equal angles with respect to the pivot point aligned on the sagittal and on the transverse planes of the corresponding hip joint of the user.
17. The apparatus of claim 16, wherein the second end of the single strap attaches at a location on the belt member more lateral with respect to the user than the attachment of the first end to the belt member; and wherein the second end of the single strap attaches to the belt member via an intervening tensioning spring or elastic member.
18. The apparatus of claim 6, wherein at least one strap comprises a medial strap and a lateral strap; wherein the first end of the medial strap attaches to the belt member at the medial aspect of the user's waist and the second end of the medial strap attached to the leg support member at the medial aspect of the leg support member; wherein the first end of the lateral strap attaches to the belt member at the lateral aspect of the user's waist and the second end of the lateral strap attached to the lateral aspect of the leg support member; and wherein the medial strap and the lateral strap are disposed at opposing angles from each other.
19. A belted strap for securing a leg brace, comprising: a belt member for wrapping around the waist of a user; at least one strap member for securing the leg brace to the belt member through a pivot point aligned on sagittal and transverse planes of the corresponding hip joint of the user.
20. The belted strap of claim 19, wherein the belt member and the at least one strap member comprise a single article or appliance.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0028] In the following description, numerous details are set forth to provide an understanding of some embodiments of the present disclosure. It should be understood by those of ordinary skill in the art that the systems and methodologies may be practiced without these details and that numerous variations or modifications from the described embodiments may be possible.
[0029] This disclosure describes hold-up devices for securing a leg brace from sliding or rotating on a patient's leg. In one embodiment, an adjustable strap attaches to a belt that is around a patient's waist and connects in various ways to the leg brace to keep it from sliding down the patient's leg, from rotating on the patient's leg or from both sliding and rotating on the patient's leg.
[0030] In an implementation, the hold-up device has multiple attachment mechanisms on the distal end of the device to provide various ways of connecting to various types and models of leg braces.
[0031] For example, in one implementation, the hold-up device has one or more clips and one or more carabiner clips at its distal end for connecting to different parts of a leg brace or for connecting to different varieties of leg braces and appliances. Likewise, an example hold-up device may have multiple ways of attaching to the patient's belt, waistband or other belt-like member.
[0032] In various implementations, the hold-up device may take advantage of the anatomical location of the patient's hip joint to provide support for the leg brace which is anchored from common hinge points and hinge planes of the patient's own leg. This provides stability for the hold-up device since the length of the supporting strap does not need to vary in conjunction with a changing distance between a point on the waist and a point on the thigh caused by natural motions of the leg being braced. Instead, in some implementations the device can rely on a fixed distance from the patient's own hip joint to a point on the patient's leg, which remains constant. The example hold-up device can take advantage of this fixed distance, instead of basing support from waist or shoulder points that vary in distance from the leg brace as the patient moves.
[0033] In an implementation, a carabiner clip on the distal end of the hold-up device can connect to various clips at the top of a leg brace or onto a clip that is located further down the leg brace. Likewise, the carabiner clip can attach to other loops on the leg brace such as straps of hook-and-loop material built into a brace for securing the brace to the leg or can fasten to other clips and loops built onto the leg brace.
[0034] The distal end of the hold-up device may also include a clasp option that can be fasten directly to material at the top of the leg brace and hold the leg brace up against gravity.
[0035] When the hold-up device is a strap, the strap may be adjustable by having an adjustment buckle included along its length. In the same or another implementation, the hold-up device (which could be a strap) may include, or be made of, elastic material with or without the adjustment buckle, that keeps the lifting tension on the leg brace at a desired level.
[0036] In various embodiments, a strap system for securing a leg brace includes at least one strap member designed and configured to secure the leg brace to a belt member through a pivot point aligned on sagittal and transverse planes of the corresponding hip joint of the user. Locating an anchoring point of the securing leg brace in transecting planes of the actual hinging and pivoting motion of the corresponding human hip joint allows one or more securing straps to remain taut at a fixed length across many different leg and body motions including, but not limited to walking, bending, standing and moving in bed. In various implementations, Y-shaped and X-shaped straps work through a loop, clevis or pulley to self-adjust the strap support for the leg brace around the anchoring pivot point across various pelvic rotation motions and bending motions of the user.
[0037] The multiple attachment mechanisms may include one or more carabiner clips on the strap-like member for connecting to a loop or strap on the leg brace and a clip or a clasp on the strap-like member for grasping material of the leg brace. The hold-up device may have a buckle or an elastic material for adjusting the length or tension of the hold-up device. In an implementation, the hold-up device may have an auxiliary piece to base a lifting force of the hold-up device from the point of the hip joint point or the plane of the hip joint that is on the corresponding side that the patient is wearing the leg brace. In an implementation, locating the anchoring point for securing the leg brace in transecting planes of the actual hinging and pivoting motion of the corresponding hip joint allows one or more securing straps to remain taut at a fixed length with movement of the user including, but not limited to, walking, bending, standing and moving in bed. In various implementations, Y-shaped and X-shaped straps work through a loop, clevis or pulley to self-adjust support for the leg brace around the anchoring pivot point during various movements of the user.
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[0044] The multiple attachment mechanisms provide a choice to the user for attaching to different places on a given leg brace 104, or for attaching to different types of leg braces 104.
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[0052] The location of the hip joint's natural pivot point 1300 (or pivot area) may be described as residing in multiple anatomical planes. For example, the pivot point 1300 resides in particular sagittal (front-to-back) longitudinal and transverse (horizontal) planes. Although the example strap systems described herein pivots at two of the planes: the sagittal and the transverse planes of pivot point 1300, the strap systems cannot pivot from all three planes in 3-dimensional space because the third plane, the coronal plane, would require a pivot point inside the human body. But by pivoting from the pivot point 1300 in two of the planes as they transect each other at the surface of the skin (or on the front of the clothes) at the front of the leg 50 or groin area, the example strap systems are able to achieve a securing system for the leg brace 104 that remains stable though many different motions of the leg 50. This stability results because the distance from the pivot point 1300 used by the example strap systems (outside the leg 50) to the top of the leg brace 104 remains constant. This is because the underlying pivoting femur (bone) provides a rigid, linear structure from approximately the same pivot point 1300 as the example strap system uses.
[0053] This anchoring scheme is different from conventional supports for leg braces which may attach at the shoulder or at the waist but do not avail to the pivot point 1300. Therefore the distance between the anchor point of any conventional support strap and the attachment spot on the leg brace changes as the leg or hip moves. However conventional support straps are of fixed length, so the leg brace 104 has to move slightly to compensate for the movement. This undesirable pull causing annoying rotation on the leg brace 104 that arises from conventional supports. In addition to the tendency of the leg brace to slip down the leg 50 when standing due to gravity.
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[0055] As an apparatus, such a strap system includes the leg support (brace) member 104 for immobilizing or bracing the knee or leg of the user, the belt member 102 that wraps around the user's waist, and at least one strap member 100 that secures the leg brace member 104 to the belt member 102 through the pivot point 1300 aligned on the sagittal and transverse planes of the corresponding hip joint of the user.
[0056] In an implementation, the leg support member 104, the belt member 102, and at least one strap member 100 may constitute a single article or appliance, or a kit.
[0057] In another implementation, the leg support member 104, the belt member 102 and at least one strap member 100 may be separate articles and the strap member 100 may have a first clasp 402 for grasping the leg support member 104 and a second clasp 404 for grasping the belt member 102 (or a conventional belt) at respective clasping locations configured to dispose the strap along the pivot point 1300.
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[0059] The loop, clevis or pulley 504 is free to move along the top part 502 (top strap) of the 3-way Y strap 500. A bottom part 506 of the 3-way Y strap 500 has a first end and a second end. The first end secures to the loop, clevis, or pulley 504 and the second end secures to the leg support member 104. The loop, clevis, or pulley 504 can slide along the top part 502 (top strap) during pelvic, waist or leg movements of the user, providing a self-compensating support of the leg brace 104 anchored at the pivot point 1300.
[0060] In an implementation, the top part 502 of the 3-way Y strap 500 is secured to the bottom part 506 of the 3-way Y strap 500 at the pivot point 1300, without the loop, clevis, or pulley 504. However, this implementation is not as forgiving of the user's movement.
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[0063] The bottom part of 706 the example 3-way strap 700 is disposed through the loop, clevis, or pulley 704 and attaches to the leg support member 104 at two locations of the leg support member 104. The bottom part 706 of the 3-way strap 700 is free to slide with respect to the loop, clevis, or pulley 704 to compensate for movement of the user while stably maintaining the position of the loop, clevis, or pulley 704 at the pivot point 1300.
[0064] In a variation of
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[0066] The top part 802 and the bottom part 806 of the 4-way X strap 800 meet at a single junction 804 at the pivot point 1300 that is aligned on sagittal and transverse planes of the corresponding hip joint of the user. One or more loop, clevis or pulley's 804 at the single junction 200 between the top part 802 and the bottom part 806 of the 4-way X strap 800 allows the top part 802 and the bottom part 806 to slide with respect to each other via one or more loops, clevises or pulleys 804. Since straps 802 and 806 of the 4-way X strap 800 can slide with respect to each other via one or more loops, clevises, or pulleys 804 this serves to keep the load bearing central junction 804 centered at the pivot spot 200 with movements of the user, thereby providing great support and stability to the leg brace 104.
[0067] In a variation, the top part 802 of the 4-way X strap 800 is secured to the bottom part 806 of the 4-way X strap 800 at the pivot point 1300 without a loop, clevis or pulley 804. This does not provide as much compensation for movement as with the one or more loops, clevises or pulleys 804 present but may be suitable in some circumstances.
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[0071] In general, the example system is a belted strap for securing a leg brace including a belt member for wrapping around a waist of a user, at least one strap member for securing the leg brace to the belt member through a pivot point aligned on a sagittal plane and on a transverse plane of corresponding hip joint of the user.
[0072] The belted strap that has at least one strap member may be a single article or appliance. Or, the belted strap and at least one strap member may be separate articles. One or more strap members may have a first clasp for grasping the leg brace and a second clasp for grasping the belt member at respective clasping locations configured to dispose the strap along the pivot point.
[0073] The belted strap system may be a 3-way Y strap wherein a top part of the 3-way Y strap attaches to the belt member at two points along the belt member and is disposed through a loop, clevis or pulley allowing the loop, clevis or pulley to hang at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user. Therefore the loop, clevis or pulley is free to move along the top part of the 3-way Y strap. The bottom part of the 3-way Y strap has a first end and a second end. The first end secures to the loop, clevis or pulley and the second end secures to the leg brace.
[0074] The belted strap may have a top part of the 3-way Y strap that is secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley. The belted strap may also have a belt member that descends into a V shape at the front centerline of the user's waist and one leg of the top part of the 3-way Y strap attaches to the bottom of the V shape of the belt member for stability of both the straps and the belt member.
[0075] The top part of the 3-way Y strap may be a single leg member. The first end of the leg member is attachable to the belt member at one point along the belt member and the second end of the leg member is secured to a loop, clevis or pulley disposed at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user. The bottom part of the 3-way Y strap can be disposed through the loop, clevis or pulley and attach to the leg brace at two locations. The bottom part of the 3-way Y strap is free to slide with respect to the loop, clevis or pulley to compensate for the user's movement while maintaining the position of the loop, clevis or pulley at the pivot point.
[0076] The top part of the 3-way Y strap can also be secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley.
[0077] The belted strap assembly can also be a 4-way X strap where the top part of the 4-way X strap attaches to the belt at two places on the belt member and the bottom part of the 4-way X strap attached to the top of the leg brace at two places. The top part and the bottom part of the 4-way X strap meet at a single junction at the pivot point that is aligned on the sagittal and transverse planes of the corresponding hip joint of the user. One or more loops, clevises or pulleys at the single junction between the top part and the bottom part of the 4-way X strap allow the top and bottom parts to slide with respect to each other via one or more loops, clevises or pulleys.
[0078] The belted strap that is the 4-way X strap may have a top part that is secured to the bottom part at the pivot point without a loop, clevis, or pulley.
[0079] A version of the belted strap may have at least one strap that is a single strap having first and second ends. The single strap disposed through a loop, clevis or pulley that is attached to the top of the leg brace itself. The first end and the second end of the single strap are both attached to the belt member at equal distances and/or equal angles with respect to the pivot point and are aligned on the sagittal and transverse planes of the corresponding hip joint of the user.
[0080] An example belted strap may have a second end of a single strap that is attached to the belt member at a location more lateral with respect to the user than the attachment of the first end to the brace member. The second end of the single strap attaches to the belt member via an intervening tensioning spring or elastic member.
[0081] The belted strap assembly may be a medial strap and a lateral strap. The first end of the medial strap attaches to the belt member at the medial aspect of the user's waist and the second end of the medial strap attached to the medial aspect of a leg brace. The first end of the lateral strap attaches to the belt member at the lateral aspect of the user's waist and the second end of the lateral strap attached to the lateral aspect of the leg brace. The medial and lateral straps are disposed at opposing angles from each other.
[0082] The strap system for securing a leg brace may just be the straps themselves or just a single strap member for securing the leg brace to a belt member through a pivot point aligned on sagittal and transverse planes of the corresponding hip joint of a user. Thus, the strap member and the belt member may be separate articles, the strap member also including a first clasp for grasping the leg brace and a second clasp for grasping the belt at respective clasping locations configured to dispose the strap along the pivot point.
[0083] The strap system that is just the strap can also be a 3-way Y strap where the top part of the 3-way Y strap attaches to the belt member at two points along the belt member and is disposed through a loop, clevis or pulley allowing the loop, clevis or pulley to hang at the pivot point aligned on sagittal and transverse planes of the corresponding hip joint of the user. The loop, clevis or pulley is free to move along the top part of the 3-way Y strap. The bottom part of the 3-way Y strap has first and second ends. The first end secures to the loop, clevis or pulley and the second end secures to the leg brace. The top part of the 3-way Y strap can be secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley. The belt member can descends into a V shape at the front centerline of the user's waist and one leg of the top part of the 3-way Y strap attaches to the bottom of the V shape of the belt member.
[0084] The 3-way Y strap may have a single leg member. The first end of the leg member is attachable along the belt member and the second end of the leg member is secured to a loop, clevis or pulley disposed at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user. The bottom part of the 3-way Y strap is disposed through the loop, clevis or pulley and attaches to the leg brace at two locations. The bottom part of the 3-way Y strap is free to slide with respect to the loop, clevis or pulley to compensate for movement of the user while maintaining the position of the loop, clevis or pulley at the pivot point. The top part of the 3-way Y strap may be secured to the bottom part of the 3-way Y strap at the pivot point without the loop, clevis or pulley.
[0085] The strap may be a 4-way X strap where the top part of the 4-way X strap attaches to the belt at two places and the bottom part of the 4-way strap attached to the top of the leg brace at two places. The top and bottom parts of the 4-way X strap meet at a single junction at the pivot point aligned on the sagittal and transverse planes of the corresponding hip joint of the user. One or more loops, clevises or pulleys at the single junction between the top part and the bottom part of the 4-way X strap allow the top and bottom parts to slide with respect to each other via one or more loops, clevises or pulleys. The top part of the 4-way X strap can also be secured to the bottom part of the 4-way X strap at the pivot point without a loop, clevis or pulley.
[0086] As a single strap, the system can have a first end and a second end. The single strap is disposed through a loop, clevis or pulley that is attached to the top of the leg brace. The first and second ends of the single strap are both attached to the belt member at equal distances and/or equal angles with respect to the pivot point that is aligned on the sagittal and transverse planes of the corresponding hip joint of the user. The second end of the single strap attaches to the belt member at a location on the belt member more lateral with respect to the user than the attachment of the first end to the belt member. The second end of the single strap can attach to the belt member via an intervening tensioning spring or elastic member.
[0087] As straps, the system can be a medial strap and a lateral strap. The first end of the medial strap attaches to the belt member at the medial aspect of the user's waist and the second end of the medial strap attached to the medial aspect of the leg brace. The first end of the lateral strap attaches to the belt member at a lateral aspect of the user's waist and the second end of the lateral strap attached to the lateral aspect of the leg brace. The medial strap and the lateral strap are disposed at opposing angles from each other.
CONCLUSION
[0088] Although a few embodiments of the disclosure have been described in detail above, those of ordinary skill in the art will readily appreciate that many modifications are possible without materially departing from the teachings of this disclosure. Accordingly, such modifications are intended to be included within the scope of this disclosure as defined in the claims.