Dynamic Correction Splint
20180042748 ยท 2018-02-15
Inventors
Cpc classification
A61F5/0125
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a dynamic correction splint (1) with two splint parts (5, 6) connected to each other via a joint (2). Spring bases (25, 26) of a spring device (27) are each coupled to a splint part (5, 6) in such a way that pivoting the splint parts (5, 6) leads to an altered biasing of the spring device (27). The spring device (27) exerts a correction moment onto the splint parts (5, 6) acting in the direction of a correction position of the splint parts (5, 6). The spring device (27) is configured and coupled to the splint parts (5, 6) in such a way that the absolute value of the correction moment increases as the correction position of the splint parts (5, 6) is approached. It is possible that a switching mechanism (40) is present. The switching mechanism (40) is actuated in a motion-controlled way by the pivoting of the splint parts (5, 6) and at its actuation changes the coupling of the splint parts (5, 6) with the spring device (27).
Claims
1. Dynamic correction splint comprising a) two splint parts connected via a joint for being pivoted about a pivoting axis and b) a spring device having spring bases, the spring bases each being coupled to one of the splint parts, c) the spring device being configured and coupled to the splint parts such that a pivoting movement of the splint parts leads to an altered correction moment of the spring device being applied onto the splint parts, said correction moment acting towards a correction position of the splint parts, d) the spring device being configured and coupled to the splint parts such that the absolute value of the correction moment increases as the splint parts approach the correction position and e) a switching mechanism being provided which ea) is actuated in a motion-controlled way by the pivoting of the splint parts and eb) at its actuation alters the coupling of the splint parts with the spring device.
2. Dynamic correction splint according to claim 1, wherein the correction position is a maximum straightened position of the splint parts.
3. Dynamic correction splint according to claim 2, wherein a starting position is a maximum bending position of the splint parts.
4. Dynamic correction splint according to claim 1, wherein the spring device is configured and coupled to the splint parts in such a way that a characteristic of the correction moment in dependence on a bending angle of the splint parts comprises a kink or a step.
5. Dynamic correction splint according to claim 1, wherein at least one of the correction position and a starting position is defined by a stop.
6. Dynamic correction splint according to claim 1, wherein a) the dynamic correction splint comprises a first pivoting range of the splint parts aa) which neighbors the correction position or encompasses the correction position and ab) in which the splint parts are coupled to the spring device via a first coupling, and b) the dynamic correction splint comprises a second pivoting range ba) which neighbors a starting position or encompasses a starting position and bb) in which the splint parts are coupled to the spring device via a second coupling, where the second coupling differs from the first coupling, c) a transition from the first pivoting range to the second pivoting range is achieved by switching the switching mechanism in a motion-controlled way by the pivoting of the splint parts from a first switching state to a second switching state.
7. Dynamic correction splint according to claim 6, wherein in the second pivoting range the absolute value of the correction moment is a) constant, b) zero or c) at maximum is 30% of the mean of the absolute value of the correction moment in the first pivoting range.
8. Dynamic correction splint according to claim 6, wherein in the first pivoting range the correction moment a) has an absolute value which increases for a pivoting towards the correction position and b) comprises an effective direction biasing the splint parts to be pivoted towards the correction position.
9. Dynamic correction splint according to claim 7, wherein in the first pivoting range the correction moment a) has an absolute value which increases for a pivoting towards the correction position and b) comprises an effective direction biasing the splint parts to be pivoted towards the correction position.
10. Dynamic correction splint according to claim 1, wherein at least one of a) a characteristic of the correction moment, b) the spring device and c) the coupling of the spring device to the splint parts is adjustable.
11. Dynamic correction splint according to claim 1, wherein a) the spring bases of the spring device are each coupled to a splint part with an eccentricity with respect to the pivoting axis, b) the splint parts form an angle larger than 180 while an angle of connecting axes of the spring bases to the pivoting axis is smaller than 180.
12. Dynamic correction splint according to claim 6, wherein a) the spring device is a longitudinal spring and b) by the switching mechanism ba) in the first switching state the longitudinal spring is coupled to the splint parts only via the spring bases of the longitudinal spring and bb) in the second switching state the longitudinal spring is additionally supported on a support at a location of the longitudinal spring between these two spring bases and the longitudinal spring is deflected by the support.
13. Dynamic correction splint according to claim 12, wherein the additional support of the longitudinal spring is arranged in the region of the pivoting axis of the splint parts.
14. Dynamic correction splint according to claim 6, wherein a) the switching mechanism in the first switching state couples a first spring base of the spring bases of the spring device or a supporting body supporting the spring device to a first splint part of the splint parts and b) in the second switching state of the switching mechanism the first spring base of the spring device or the supporting body is decoupled from the first splint part.
15. Dynamic correction splint according to claim 14, wherein a) in the first pivoting range and in the first switching state of the switching mechanism the first splint part is form-lockingly coupled to the first spring base or to the supporting body via a coupling body and b) in the second pivoting range and in the second switching state of the switching mechanism the form-locking coupling between the first splint part and the first spring base or the supporting body has been removed.
16. Dynamic correction splint according to claim 15, wherein a) for the form-locking coupling in the first pivoting range and in the first switching state of the switching mechanism the coupling body is arranged in recesses of at least one of the first splint part, the first spring base and the supporting body and b) for the transition from the first pivoting range to the second pivoting range and for a switching of the switching mechanism from the first switching state to the second switching state in a motion-controlled way by a pivoting of the splint parts the coupling body is moved out of the recess of at least one of the first splint part, the spring base and the supporting body.
17. Dynamic correction splint according to claim 1, wherein at least one of the splint parts and the supporting body is realized by a panel construction.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0041] In the following, the invention is further explained and described with respect to preferred exemplary embodiments illustrated in the drawings.
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DETAILED DESCRIPTION
[0055] The figures show a dynamic correction splint 1. The dynamic correction splint 1 can be used on its own. For that purpose it can be arranged only on one-side from the parts of an extremity of the person to be treated with a joint arranged between these parts and then by fixed via straps or other fixing devices. Preferably, however, two such dynamic correction splints or a dynamic correction splint and a follower splint are fixed on opposing sides of the parts of the extremity and the joint. In this case the two dynamic correction splints can also be connected to each other and/or fixed to the parts of the extremity by fixing straps or other fixing means (cp. e.g. DE 199 04 554 B4).
[0056] Functionally, a difference is made on the dynamic correction splint 1 between the joint 2 and the two bar-like base bodies 3, 4 connected to each other via the joint 2. The base bodies 3, 4 in use extend in parallel to the extremities. The base bodies 3, 4 serve for transmitting the correction moment onto the extremities and fixing the dynamic correction splint 1 to them. The joint 2 serves for enabling a change of the pivoting angle or bending angle of the dynamic correction splint 1. Into the joint 2, further functions are integrated, especially [0057] a setting of the range of the possible pivoting angles of the dynamic correction splint 1, e.g. by stops and/or a worm drive, [0058] a spring device for creating the correction moment and [0059] measures for influencing the characteristic of the correction moment.
[0060] Constructively, the dynamic correction splint 1 is formed with three panel-like construction elements, that is, a splint part 5, a splint part 6 and a supporting body 7 (which is a supporting disc 8 here). The splint part 6 and the splint part 5 in this sequence contact each other in the region of the joint 2, where they can directly contact each other or between them a sliding disc is arranged to reduce the friction during the pivoting movement. The splint parts 5, 6 and the supporting disc 8 each have a central bore. Through the central bore from the back a plate screw 9 extends. On the opposite side the plate screw 9 is connected (especially screwed) to a support 10. The splint parts 5, 6 and the supporting disc 8 (and sliding discs possibly arranged between them) are caught between the head of the plate screw 9 and the support 10 in such a way that they can pivot about a pivoting axis 11 which is vertical to the plane of projection according to
[0061] In the region of the joint 2 the splint part 6 has bores 12a, 12b . . . distributed evenly around the circumference. In two bores 12, two stops 13, 14 are fixed. Preferably, the stops 13, 14 are screws 15, 16. The screws 15, 16 comprise a cylinder head with a hexagon socket. The screws 15, 16 can be screwed into the bores 12 comprising a corresponding thread. The stops 13, 14 each serve for limiting the possible pivoting angle of the splint parts 5, 6 in one direction. On the part of its circumference turned towards the splint part 6 the splint part 5 has a radius which is smaller than the distance of the stops 13, 14 from the pivoting axis 11. This design serves for avoiding a collision of the stops 13, 14 with the splint part 5. The part of the circumference with the smaller radius is on both sides limited by counter-stops 17, 18 which are formed here by rounded radial extensions of the splint part 5 (in
[0062] In
[0063] In
[0064] The supporting disc 8 is rigidly connected to the splint part 6. It is possible that the rigid connection can be provided in different angular positions for adjusting the dynamic correction splint 1. In this way an adjustability is provided. For an adjustment the supporting bolt 20 can be mounted to the supporting disc 8 in different circumferential positions and/or a continuous adjustment of the relative position of the supporting disc 8 is possible via a worm drive.
[0065] In the straightened position according to
[0066] As can especially be seen from the spatial view according to
[0067] With a further increase of the bending angle 32 according to
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[0069] When the angle 35 is 180, a transition 39 is reached for which the spring device 27 comes to rest against the support surface 33, in which way for the range of the angle 35 from 180 to 360 the curve of the lever arm 37 is zero. On the contrary, the curve of the lever arm 37 for the range of the angle 35 from 0 to 180 can be calculated in dependence on the angle relations under use of trigonometric functions. The length of the spring device 27 or the tension spring 28 here is chosen in such a way that the spring device 27 in the range of the angle 35 from 0 to 30 is not yet tensioned so that here the curve 36 is zero. Only for an angle 35 larger than 30, the spring device 27 is tensioned. Even when assuming a linear spring characteristic of the spring device 27, due to the angle relations in the range from 30 to 180 of the angle 35 a non-linear but continuous increase of the spring force of the spring device 27 results which is proportional to the angle-dependent distance of the two spring bases 25, 26. If for the angular range from 180 to 360 the spring device 27 rest against the support surface 33, with the pivoting of the splint parts 5, 6 the distance of the spring bases 25, 26 does not change so that the curve 36 of the spring force constantly corresponds to the maximum reached for the angle of 180. From the product of the spring force according to curve 36 with the lever arm according to curve 37, then the curve of the correction moment 38 results. Due to the chosen angular relations, in the angular range from 30 to 180 the correction moment acts towards a reduction of the angle 35.
[0070] In the shown characteristic the curve 38 of the correction moment comprises a kink at the transition 39. The kink in the region of the transition 39 and a correction moment of zero in the angular range from 180 to 360 are caused by a switching mechanism 40. The switching mechanism 40 bases on providing different boundary conditions of the spring device 27 in a motion-controlled way and in dependency on the angle 35 or the bending angle 32:
[0071] a) In a first switching state for angle ranges before reaching the transition 39, the spring device 27 is connected only with its spring bases 25, 26 to the splint part 5 on the one hand and the splint part 6 on the other hand, here with the supporting disc 8, which is also called the first coupling 43. A change in the angle 35 or the bending angle 32 leads to a change in the distance of the spring bases 25, 26, so that in dependence on the change of the angle also an altered spring force in the spring device 27 results.
[0072] b) If, on the contrary, the spring device 27 comes to rest against the support surface 33 of the support 10 in a motion-controlled way by the change of the angle 35 or the bending angle 32, the motion-controlled switching of the switching mechanism 40 to the second switching state occurs. After the actuation of the switching mechanism 40 and after the transition 39 there is an additional boundary condition of the spring device 27. As a consequence, for any angle 35 in the angle range from 180 to 360 and for a corresponding bending angle 32 the spring device 27 rests against the support surface 33. This is also referred to as the second coupling 44 here. The change of the angle then, however, does not result in a change of the distance of the spring bases 25, 26, a change of the extension of the spring device 27 or a change of the spring force 36. Furthermore, for this angular range the lever arm 37 of the spring force 36 is zero, which means that also the correction moment is zero.
[0073] The characteristic of the correction moment according to
[0074] For another area of application, another portion 42 of the characteristic of the correction moment can be used.
[0075] Before the transition 39 or before the actuation of the switching mechanism 40, a coupling 43 of the spring device 27 to the two splint parts 5, 6 is only provided by the linking of the spring bases 25, 26 to the switching mechanism 40. On the contrary, after the transition 39 or after the actuation of the switching mechanism 40, a coupling 44 of the spring device is provided both by the linking of the spring bases 25, 26 to the splint parts 5, 6 as well as by the contact of the spring device 27 with the support surface 33 of the support 10.
[0076] In
[0077] For the embodiment of the dynamic correction splint 1 shown in
[0078] In
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[0080] In the single-part drawing according to
[0081] From the single-part drawing according to
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[0083] For this embodiment the switching device 40 comprises a coupling body 67 actuated in a motion-controlled way (here, a locking ball 68). In the first pivoting range, in which a correction moment is created, the coupling body 67 fixedly couples the supporting disc 8 to the spring part 6. In the second pivoting range after the switching of the switching device 40 the coupling body 67 is disengaged between the supporting disc 8 and the splint part 6. As can be seen in
[0084] For an increase of the bending angle 32 to a pivoting position of the dynamic correction splint 1 according to
[0085] When by means of an actuation of the switching mechanism 40 the locking between the supporting disc 8 and the splint part 6 has been released, generally the spring device 27 could freely rotate the supporting disc 8. Such a rotation with a pressure relief of the spring device 27, however, is impeded by the stop 57 coming to rest against the counter-stop 52. In order to achieve this, it is necessary that the unlocking of the switching mechanism 40 is done at a point in time at which the rotation of the supporting disc 8 due to the increase of the bending angle 32 has advanced to an extend such that the supporting bolts 19, 20 have already passed the position in which their connecting axis ran through the pivoting axis 11 (cp.
[0086] When the switching mechanism 40 has been actuated, that is, when the locking ball 68 has been released from the supporting disc 8, there can be a further increase of the bending angle 32 with the pivoting of the splint parts 5, 6 without there being a pivoting of the supporting disc 8 connected with it, so that the position and extension of the spring device 27 does not change. An increase of the bending angle 32 in this second pivoting range is therefore achieved without there being a necessity for the user to apply a special moment or even an increasing moment. It can be seen from the direction of effect of the spring device 27 for the increase of the bending angle 32 in the first pivoting range before the actuation of the switching mechanism 40 that due to the decrease of the lever arm the correction moment becomes successively smaller at least when getting closer to the transition 39 with the actuation of the switching mechanism 40.
[0087] In the first pivoting range, in which the correction moment is created, the coupling 43 of the splint parts 5, 6 to the spring device is formed by the coupling of the splint part 5 to the spring base 25 via the supporting bolt 19, while the coupling of the splint part 6 is achieved via the locked switching mechanism 40, the supporting disc 8 and the supporting bolt 20 fixed to it with the spring base 26 of the spring device 27. At the actuation of the switching mechanism 40, an alteration into a coupling 44 occurs in that the locking of the supporting disc 8 with the splint part 6 is released, in which way a coupling of the pivoting motion of the splint part 6 with the spring device 27 is no longer present.
[0088] For the description of the embodiment according to
[0089] For the embodiment according to
[0090] Preferably, the maximum correction moment and/or the correction moment in the correction position is in the range of 2 Nm to 8 Nm, especially in the range of 3 Nm to 6 Nm.
[0091] In the case that the dynamic correction splint is a Quengel splint, the correction position is the Quengel position, the correction force is the Quengel force, the correction moment is the Quengel moment and the correction effect is the Quengel effect.
[0092] Many variations and modifications may be made to the preferred embodiments of the invention without departing substantially from the spirit and principles of the invention. All such modifications and variations are intended to be included herein within the scope of the present invention, as defined by the following claims.