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RU2008125982A - Кистевой протез - Google Patents

Кистевой протез Download PDF

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Publication number
RU2008125982A
RU2008125982A RU2008125982/14A RU2008125982A RU2008125982A RU 2008125982 A RU2008125982 A RU 2008125982A RU 2008125982/14 A RU2008125982/14 A RU 2008125982/14A RU 2008125982 A RU2008125982 A RU 2008125982A RU 2008125982 A RU2008125982 A RU 2008125982A
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Russia
Prior art keywords
prosthesis according
prosthesis
finger
drive
rotation
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RU2008125982/14A
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English (en)
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RU2427348C2 (ru
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Грегор ПУХГАММЕР (AT)
Грегор ПУХГАММЕР
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ОТТО БОК ХЕЛСКЕА АйПи ГМБХ ЭНД КО. КГ (DE)
ОТТО БОК ХЕЛСКЕА АйПи ГМБХ ЭНД КО. КГ
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/54Artificial arms or hands or parts thereof
    • A61F2/58Elbows; Wrists ; Other joints; Hands
    • A61F2/583Hands; Wrist joints
    • A61F2/586Fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/54Artificial arms or hands or parts thereof
    • A61F2/58Elbows; Wrists ; Other joints; Hands
    • A61F2/583Hands; Wrist joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/68Operating or control means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/68Operating or control means
    • A61F2/70Operating or control means electrical
    • A61F2/72Bioelectric control, e.g. myoelectric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2002/30001Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
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    • A61F2002/30329Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
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    • AHUMAN NECESSITIES
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    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2002/5016Prostheses not implantable in the body adjustable
    • A61F2002/5018Prostheses not implantable in the body adjustable for adjusting angular orientation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2002/5038Hinged joint, e.g. with transverse axle restricting the movement
    • A61F2002/5043Hinged joint, e.g. with transverse axle restricting the movement with rotation-limiting stops, e.g. projections or recesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/5044Designing or manufacturing processes
    • A61F2002/5055Reinforcing prostheses by embedding particles or fibres during moulding or dipping, e.g. carbon fibre composites
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2002/5093Tendon- or ligament-replacing cables
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/54Artificial arms or hands or parts thereof
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
    • A61F2/68Operating or control means
    • A61F2002/6836Gears specially adapted therefor, e.g. reduction gears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/50Prostheses not implantable in the body
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    • A61F2/70Operating or control means electrical
    • A61F2002/701Operating or control means electrical operated by electrically controlled means, e.g. solenoids or torque motors
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    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements

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  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

1. Кистевой протез с основанием, на котором с возможностью движения посредством привода вокруг, по меньшей мере, одной оси поворота относительно основания шарнирно установлен пальцевый протез, отличающийся тем, что в основании (2) расположен первый привод (6), который через устройство (10) для передачи усилий связан с пальцевым протезом (3, 4, 5) и обеспечивает поворот вокруг первой оси (15) поворота, при этом в пальцевом протезе (3, 4, 5) расположен второй привод (30), который обеспечивает поворот, по меньшей мере, части пальцевого протеза (3, 4, 5) вокруг второй оси (31) поворота относительно первой оси (15) поворота. ! 2. Протез по п.1, отличающийся тем, что приводы (30, 6) развязаны друг от друга. ! 3. Протез по п.1 или 2, отличающийся тем, что устройство (10) для передачи усилий выполнено жестким на растяжение и податливым при нажиме или упруго-изгибным. ! 4. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий содержит тросовый или волокнистый компонент (11) или прядь. ! 5. Протез по п.4, отличающийся тем, что тросовый или волокнистый компонент (11) или прядь выполнен в виде закрытой, открытой или скрученной петли. ! 6. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий содержит эластомерный компонент (12). ! 7. Протез по п.4 или 6, отличающийся тем, что эластомерный компонент (12), по меньшей мере, частично охватывает тросовый или волокнистый компонент (11) или прядь. ! 8. Протез по п.1, отличающийся тем, что устройство для (10) передачи усилий содержит опорные втулки (13, 14) для размещения осей (15, 16), приданных основанию (2) кисти и пальцевому протезу (3,4, 5). ! 9. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий выполнено п�

Claims (18)

1. Кистевой протез с основанием, на котором с возможностью движения посредством привода вокруг, по меньшей мере, одной оси поворота относительно основания шарнирно установлен пальцевый протез, отличающийся тем, что в основании (2) расположен первый привод (6), который через устройство (10) для передачи усилий связан с пальцевым протезом (3, 4, 5) и обеспечивает поворот вокруг первой оси (15) поворота, при этом в пальцевом протезе (3, 4, 5) расположен второй привод (30), который обеспечивает поворот, по меньшей мере, части пальцевого протеза (3, 4, 5) вокруг второй оси (31) поворота относительно первой оси (15) поворота.
2. Протез по п.1, отличающийся тем, что приводы (30, 6) развязаны друг от друга.
3. Протез по п.1 или 2, отличающийся тем, что устройство (10) для передачи усилий выполнено жестким на растяжение и податливым при нажиме или упруго-изгибным.
4. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий содержит тросовый или волокнистый компонент (11) или прядь.
5. Протез по п.4, отличающийся тем, что тросовый или волокнистый компонент (11) или прядь выполнен в виде закрытой, открытой или скрученной петли.
6. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий содержит эластомерный компонент (12).
7. Протез по п.4 или 6, отличающийся тем, что эластомерный компонент (12), по меньшей мере, частично охватывает тросовый или волокнистый компонент (11) или прядь.
8. Протез по п.1, отличающийся тем, что устройство для (10) передачи усилий содержит опорные втулки (13, 14) для размещения осей (15, 16), приданных основанию (2) кисти и пальцевому протезу (3,4, 5).
9. Протез по п.1, отличающийся тем, что устройство (10) для передачи усилий выполнено пружиняще-упругим.
10. Протез по п.9, отличающийся тем, что спружинивание устройства (10) для передачи усилий рассчитано так, что при его нагружении сжимающим усилием происходит возврат пальцевого протеза (3, 4, 5) в исходное положение.
11. Протез по п.1, отличающийся тем, что приводы (30, 6) выполнены в виде электродвигателей.
12. Протез по п.1, отличающийся тем, что второй привод (30) расположен в зоне проксимальной фаланги естественного пальца, в частности большого пальца.
13. Протез по п.1, отличающийся тем, что второй привод (30) через передачу (32), в частности с непересекающимися осями, связан с ведомым элементом (33).
14. Протез по п.13, отличающийся тем, что ведомый элемент выполнен в виде червяка, который находится в зацеплении с сегментом (34) зубчатого колеса и образует винтовую зубчатую передачу (35).
15. Протез по п.14, отличающийся тем, что второй привод (30) установлен на сегменте (34) зубчатого колеса с возможностью поворота.
16. Протез по п.14, отличающийся тем, что червячная передача (35) выполнена самостопорящейся.
17. Протез по п.14, отличающийся тем, что сегмент (34) зубчатого колеса установлен на основании (2) с возможностью поворота.
18. Протез по п.1, отличающийся тем, что второй привод (30) выполнен с возможностью перемещения пальцевого протеза (3, 4, 5) между несколькими установленными положениями.
RU2008125982/14A 2005-12-20 2006-12-07 Кистевой протез RU2427348C2 (ru)

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ATE433309T1 (de) 2009-06-15
CN101340867A (zh) 2009-01-07
WO2007076764A2 (de) 2007-07-12
CN101340867B (zh) 2012-08-29
CA2631970C (en) 2011-07-26
AU2006332317A1 (en) 2007-07-12
KR101169834B1 (ko) 2012-07-30
US8343234B2 (en) 2013-01-01
KR20080080367A (ko) 2008-09-03
DE502006003954D1 (de) 2009-07-23
EP1962737B1 (de) 2009-06-10
WO2007076764A3 (de) 2007-10-11
CA2631970A1 (en) 2007-07-12
BRPI0619380B8 (pt) 2021-06-22
BRPI0619380A2 (pt) 2011-09-27
US20080262634A1 (en) 2008-10-23
JP2009519796A (ja) 2009-05-21
JP5074414B2 (ja) 2012-11-14
DE102005061312A1 (de) 2007-08-16
EP1962737A2 (de) 2008-09-03
BRPI0619380B1 (pt) 2017-12-05
RU2427348C2 (ru) 2011-08-27

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