HINGE FOR ORTHOPEDIC DEVICE
20230030869 · 2023-02-02
Inventors
- Larus Gunnsteinsson (Reykjavik, IS)
- Bjorn OMARSSON (Reykjavik, IS)
- Sindri Pall Sigurdsson (Reykjavik, IS)
- Henry HSU (Foothill Ranch, CA, US)
Cpc classification
F16C2220/04
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F16C2316/10
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F16C11/12
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61F5/0125
HUMAN NECESSITIES
F16C2208/20
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61F5/0102
HUMAN NECESSITIES
International classification
A61F5/01
HUMAN NECESSITIES
Abstract
A hinge has a hinge body forming an articulating section extending between a first end and a second end of the hinge. The articulating section is adapted to bend from a neutral axis when the first and second ends are parallel to an angular range in which the first end is arranged among a plurality of angles within the angular range relative to the second end. The hinge body may define a receptacle along the articulating section, and an insert may be provided for insertion into the receptacle. The insert can modify the stiffness of the hinge in the angular range and is arranged parallel to the neutral axis.
Claims
1. A hinge, comprising: a hinge body forming an articulating section generally extending at a central location between a first end and a second end of the hinge and adapted to bend from a neutral axis when the first end and the second end are parallel to an angular range in which the first end is arranged among a plurality of angles within the angular range relative to the second end; wherein the hinge body includes a first strut and a second strut each arranged on opposed ends of the articulating section, the first strut and the second strut having a first width transverse to the neutral axis, and the articulating section having a second width more narrow than the first width, the hinge body tapering from the first width to the second width. wherein the articulating section is structured differently from the first and second struts of the hinge body; wherein the hinge body is continuously formed from a single material from the first end to the second end of the hinge; wherein the hinge body continuously extends without interruption from the first end to the second end of the hinge in a longitudinal direction along the neutral axis.
2. The hinge of claim 1, wherein the hinge body defines a receptacle along the articulating section.
3. The hinge of claim 2, further comprising an insert arranged for insertion into the receptacle, the insert modifying a stiffness of the hinge in the angular range and arranged parallel to the neutral axis.
4. The hinge of claim 3, wherein the insert has an elongate shape in the direction of a length thereof, the insert having a width transverse to the length shorter than a thickness parallel to the length.
5. The hinge of claim 3, wherein the insert has a greater stiffness than the articulating section of the hinge body.
6. The hinge of claim 3, wherein the articulating section forms at least one slot for removably placing the insert within the receptacle.
7. The hinge of claim 1, wherein the hinge body forms a first ring at the first end of the hinge.
8. The hinge of claim 7, wherein the first ring defines a first ring portion on an anterior side of the hinge, and a second ring portion on a posterior side of the hinge, the first ring portion having a different shape than the second ring portion.
9. The hinge of claim 8, wherein the first ring portion defines a generally elongate bar, and the second ring portion forms a curvature.
10. The hinge of claim 1, wherein the hinge body forms a rib protruding from a base thickness of the hinge body at least along the articulating section in a longitudinal direction along the neutral axis.
11. The hinge of claim 10, wherein the rib forms a maximum thickness in a middle of the articulating section and resists articulation within the angular range.
12. The hinge of claim 10, wherein the rib tapers in height toward the first end and the second end to the base thickness.
13. The hinge of claim 1, wherein the hinge body tapers from a first width transverse to the neutral axis to a second width in the articulating section.
14. The hinge of claim 13, wherein the hinge body tapers from the first width to the second width.
15. The hinge of claim 14, wherein the second width is located generally equidistant between the first end and the second end of the hinge body, and extends a length longitudinally along the neutral axis short of an entirety of the articulating section.
16. The hinge of claim 1, wherein a first section of the hinge body extending from a first side of the articulating section to the first end of the hinge body is symmetric with a second section of the hinge body extending from a second side of the articulating section to the second end of the hinge body.
17. The hinge of claim 1, wherein a first section of the hinge body extending from a first side of the articulating section to the first end of the hinge body is reversely arranged relative to a second section of the hinge body extending from a second side of the articulating section to the second end of the hinge body.
18. A hinge, comprising: a hinge body forming an articulating section generally extending at a central location between a first end and a second end of the hinge and adapted to bend from a neutral axis when the first end and the second end are parallel to an angular range in which the first end is arranged among a plurality of angles within the angular range relative to the second end; wherein the hinge body includes a first strut and a second strut each arranged on opposed ends of the articulating section, the first strut and the second strut having a first width transverse to the neutral axis, and the articulating section having a second width more narrow than the first width, the hinge body tapering from the first width to the second width. wherein the articulating section is structured differently from the first and second struts of the hinge body; wherein the hinge body is continuously formed from a single material from the first end to the second end of the hinge; wherein the hinge body continuously extends without interruption from the first end to the second end of the hinge in a longitudinal direction along the neutral axis; wherein the hinge body defines a receptacle along the articulating section; an insert arranged for insertion into the receptacle, the insert modifying a stiffness of the hinge in the angular range and arranged parallel to the neutral axis; wherein the hinge body forms a first ring at the first end of the hinge, and a second ring at the second end of the hinge.
19. The hinge of claim 18, wherein the hinge body tapers from a first width transverse to the neutral axis to a second width in the articulating section; wherein the hinge body tapers from the first width to the second width; wherein the second width is located generally equidistant between the first end and the second end of the hinge body, and extends a length longitudinally along the neutral axis short of an entirety of the articulating section.
20. The hinge of claim 18, wherein a first section of the hinge body extending from a first side of the articulating section to the first end of the hinge body is symmetric with a second section of the hinge body extending from a second side of the articulating section to the second end of the hinge body.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0015]
[0016]
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033] In the figures, similar elements are provided with similar reference numbers. The drawing figures are not drawn to scale, or proportion, but instead are drawn to provide a better understanding of the components, and are not intended to be limiting in scope, but provide exemplary illustrations.
DETAILED DESCRIPTION OF VARIOUS EMBODIMENTS
A. Overview
[0034] While the disclosure is susceptible to various modifications and alternative constructions, certain illustrative embodiments are in the drawings and are described below. It should be understood, however, there is no intention to limit the disclosure to the specific embodiments disclosed, but on the contrary, the intention covers all modifications, alternative constructions, combinations, and equivalents falling within the spirit and scope of the disclosure.
B. Environment and Context of Embodiments
[0035] Embodiments of the hinge described herein may be provided in an orthopedic device of the type discussed in U.S. patent application Ser. No. 15/672,593, filed on Aug. 9, 2017, published as U.S. patent application publication no. 2018/0042754, on Feb. 15, 2018, and incorporated herein by reference.
[0036] For further ease of understanding the embodiments of an orthopedic device in the exemplary form of a textile support for treating complications of the knee and variants as disclosed, a description of a few terms is necessary.
[0037] As used herein, the term “flexion” should denote a condition in which a limb, for example a leg, is bent at an articulating joint, such as a knee. The term “extension” is intended to denote a condition in which a limb, for example a leg, is unbent or straightened at an articulating joint, such as a knee. The term “stiffness” has its ordinary meaning as the degree of resistance of an elastic body to deflection or deformation by an applied force, and more particularly to bending between end points in the context of a hinge.
[0038] The terms “rigid,” “flexible,” “compliant,” and “resilient” may distinguish characteristics of portions of certain features of the hinge. The term “rigid” should denote that an element of the device is generally devoid of flexibility. Within the context of features that are “rigid,” it is intended to indicate that they do not lose their overall shape when force is applied, and may break if bent with sufficient force. The term “flexible” should denote that features are capable of repeated bending such that the features may be bent into retained shapes or the features do not retain a general shape, but continuously deform when force is applied.
[0039] The term “compliant” may qualify such flexible features as generally conforming to the shape of another object when placed in contact therewith, via any suitable natural or applied forces, such as gravitational forces, or forces applied by external mechanisms. The term “resilient” may qualify such flexible features as generally returning to an initial general shape without permanent deformation. As for the term “semi-rigid,” this term may be used to connote properties of support members or shells that provide support and are freestanding; however, such support members or shells may have some degree of flexibility or resiliency. The term “elastic” may connote stretchability, and the term “semi-elastic” connotes various degrees of elasticity as compared to the term “inelastic” which may mean devoid or substantially devoid of any elasticity.
C. Various Embodiments of the Hinge and Association with an Orthopedic Device
[0040]
[0041] In this embodiment, the orthopedic device 100 includes straps 104, 106 tethered to first and second, in this instance upper or lower, respectively, rings 108, 110 formed by the hinge 102. More particularly, the straps 104, 106 extend about a forward portion 112 of the first and second rings 108, 110, toward an anterior side A of the orthopedic device 100, and can be pulled against the forward portion 112 as the straps 104, 106 are tensioned. The straps 104, 106 may return to one of the first and second rings 108, 110 on or from a posterior side P of the orthopedic device 100, such that the first and second rings 108, 110 can retain a plurality of strap ends extending in opposing or at least different directions. As shown, the straps 104, 106 may secure directly to the orthopedic device 100, such as by being secured to the tubular support 101 or supplementary panel 103.
[0042] The hinge 102 is preferably retained by the orthopedic device 100 by a hinge cover 114 formed by the supplementary panel 103. The hinge 102 may be removably secured within or by the hinge cover 114, or may be permanently secured by the hinge cover 114. By “permanently” it is meant that one must separate at least a portion of the hinge cover 114 in an irreversible manner to withdraw the hinge 102 from the orthopedic device 100, and “removably” means one can repeatedly remove the hinge 114 from the orthopedic device 100 without irreversible alteration of the hinge cover 114 or the tubular support 101.
[0043]
[0044] As depicted in
[0045] While depicted as generally being on one of the medial or lateral sides of the tubular support 101, the hinge 102 may be provided on both the medial and lateral sides of the tubular support 101.
[0046] As shown in more detail in
[0047] The hinge 102 defines first and second struts 132, 134 that transition from transitional portions 140 from the rings 108, 110 and have a width w1 along their length. The struts 132, 134 and the rings 108, 110 are preferably semi-rigid or rigid to offer support to the user's leg, and so as not to yield due to tensioning of the straps 104, 106.
[0048] An insert 126 may be provided with the hinge 102 to selectively modify the rigidity of the hinge 102. The insert 126 may be elongate as in having length greater than its width, and preferably extends in a longitudinal direction along the length of the hinge. Specifically, the hinge 102 may be formed of a rigid or semi-rigid plastic, such as from an EVA polymer, and its rigidity can be enhanced at least at an articulation area, such as a middle portion 128 of the hinge 102 where it is intended to bend. The middle portion 128 of the hinge 102 is substantially narrowed to a reduced width w2 via tapering first and second transitional portions 136, 138 in comparison to the first and second struts 132, 134 leading from the middle portion 128 to the rings 108, 110. The narrow middle portion 128 facilitates bending of the hinge 102, and forms a receptacle 142 (see
[0049] While the insert 126 is described as being inserted into the receptacle 142 and selectively removed therefrom, the insert 126 may be permanently placed in the receptacle 142 after the hinge body 105 is formed so that the insert 126 is permanently placed in the receptacle 142. The insert 126 may be inserted into the hinge body 105 as it is cooling so there is at least partial bonding of the material of the insert 126 with the material of the hinge body 105. An adhesive may permanently mount the insert 126 to the hinge body 105. By understanding “permanently,” this means that the insert 126 cannot be removed from the hinge body 105 without physically causing damage or deterioration to either the insert 126 or the hinge body 105.
[0050] The middle portion 128 may include a raised rib portion 130 at its greatest height or thickness t3 along the middle portion 128, and tapers to a reduced thickness t2 along tapering portions 131 along the first and second struts 132, 134 to its minimal thickness t1 at the first and second rings 108, 110. The middle portion 128 may also define windows 144, 146 through at least the rib portion 130 to show the insert 126. The insert 126 may be color coded depending on its stiffness or resiliency, and the windows 144, 146 expose the color of the corresponding insert 126 as an indicator to a user of the presence and/or stiffness of the insert 126. The rib portion 130 or ridges formed thereby facilitate bending of the hinge 102 in a sagittal plane, but resist bending in a coronal plane.
[0051] The preferred embodiment shows the hinge 102 as being monolithically formed, meaning that it is formed as a single body, without interruptions, and is unitary in shape and function. The hinge 102 may be formed by injection molding from a single mold and material deposited in such single mold, without additionally attaching other features to the hinge 102 after the injection molding of the hinge 102. The monolithic hinge body 105 spans the length of the hinge 102, and while it may be supplemented with the insert 126, the single body of the hinge body 105 can individually serve as a hinge without the insert 126 or any other additional component or adaptation.
[0052] The perspective cross-sectional view of
[0053] Likewise, the perspective cross-sectional view of
[0054]
[0055]
[0056]
[0057] Instead of rings 108, 110 of the embodiment of
[0058] As in the embodiment depicted in
[0059] In contrast to the embodiment of
[0060]
[0061] The first and second struts 502, 504 of the embodiment of
[0062] As in the embodiment of
[0063] Struts 502, 504 have a thickness t6 that is less than a thickness t7 of a rib 506 defined at the middle portion 530. The greater thickness t7 of the rib 506 accommodates an insert 526, allowing a user or clinician to vary the stiffness of the hinge 500 as necessary. The rib 506 may be in supplement to or in place of an insert. Variations of the hinge 500 may be adapted with a receptacle for placement of an insert, or any of the embodiments herein may have an articulating section reinforced with a bolstered thickness, as depicted in
[0064]
[0065] The middle portion 211 defines a first set of hinge elements 212, with each first hinge element 214 adapted to facilitate and reinforce bending of the middle portion 211. The middle portion 211 defines a second set of hinge elements 216, with each second hinge element 218 adapted to facilitate and reinforce bending of the middle portion 211. The second set of hinge elements 216 may be arranged to limit the range of motion of the hinge 200, as depicted in
[0066]
[0067]
[0068] As shown in
[0069] It is to be understood that not necessarily all objects or advantages may be achieved under any embodiment of the disclosure. Those skilled in the art will recognize that the hinge for an orthopedic device may be embodied or carried out in a manner that achieves or optimizes one advantage or group of advantages as taught herein without necessarily achieving other objects or advantages as taught or suggested herein.
[0070] The skilled artisan will recognize the interchangeability of various disclosed features. Besides the variations described, other known equivalents for each feature can be mixed and matched by one of ordinary skill in this art to construct hinge for an orthopedic device under principles of the present disclosure. It will be understood by the skilled artisan that the features described may be adapted to other types of hinges and/or orthopedic devices. Hence this disclosure and the embodiments and variations thereof are not limited to hinges for soft knee braces, but can be utilized in any hinge for any orthopedic device.
[0071] Although this disclosure describes certain exemplary embodiments and examples of a hinge for an orthopedic device, it nevertheless will be understood by those skilled in the art that the present disclosure extends beyond the specifically disclosed hinge embodiments to other alternative embodiments and/or uses of the disclosure and obvious modifications and equivalents thereof. It is intended that the present disclosure should not be limited by the particular disclosed embodiments described above, and may be extended to other hinges for other orthopedic devices and supports, and other applications that may employ the features described herein.