[go: up one dir, main page]

WO2010087899A2 - Ensemble orthèse élastique permettant de lutter contre l'hyperextension et procédés d'utilisation - Google Patents

Ensemble orthèse élastique permettant de lutter contre l'hyperextension et procédés d'utilisation Download PDF

Info

Publication number
WO2010087899A2
WO2010087899A2 PCT/US2009/067152 US2009067152W WO2010087899A2 WO 2010087899 A2 WO2010087899 A2 WO 2010087899A2 US 2009067152 W US2009067152 W US 2009067152W WO 2010087899 A2 WO2010087899 A2 WO 2010087899A2
Authority
WO
WIPO (PCT)
Prior art keywords
strap
elastic
cross
brace
joint
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2009/067152
Other languages
English (en)
Other versions
WO2010087899A3 (fr
Inventor
Lonnie Paulos
Kim Nelson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from PCT/US2009/046183 external-priority patent/WO2009149217A2/fr
Application filed by Individual filed Critical Individual
Publication of WO2010087899A2 publication Critical patent/WO2010087899A2/fr
Publication of WO2010087899A3 publication Critical patent/WO2010087899A3/fr
Priority to US13/188,506 priority Critical patent/US8808211B2/en
Anticipated expiration legal-status Critical
Priority to US13/541,796 priority patent/US9320634B2/en
Priority to US14/447,703 priority patent/US9554934B2/en
Priority to US15/195,618 priority patent/US20160367391A1/en
Priority to US15/406,738 priority patent/US10786381B2/en
Priority to US15/423,851 priority patent/US10675166B2/en
Priority to US16/384,841 priority patent/US20190240054A1/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0123—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees
    • A61F5/0125—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations for the knees the device articulating around a single pivot-point
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0106—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the knees
    • A61F5/0109—Sleeve-like structures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F2005/0132—Additional features of the articulation
    • A61F2005/0179—Additional features of the articulation with spring means

Definitions

  • the present invention relates to braces that can prevent the hyperextension of a joint, and more specifically relates to a knee brace having an elastic cross-strap that assists in preventing hyperextension.
  • Braces are often utilized to support joints when damage, deformation, surgery or the like has caused the joint to be instable. Most of the running, jumping, cutting or twisting sports today have the risk of damaging the knee. These injuries frequently involve a tearing the ACL in the knee. Many injures to the knee joint have a mechanism of injury of hyperextension in which the ACL is stretched or torn. Many methods have been employed to prevent this action to the knee and prevent the injury to the ACL. Taping techniques as well as rigid braces have been designed to prevent this condition.
  • taping techniques Another technique of treating and preventing joint injuries includes taping techniques. While reinforcing joint strength, taping typically does not involve rigid braces that cause problems with sporting rules. Taping techniques have shown some promise for this situation but these techniques still have some of the disadvantages of tape such as loosening, speed of application and rigidity to name just a few. Typically, these disadvantages require the wearer to have the tape reapplied to tighten the tape and maintain the desired effect of strengthening the joint.
  • Prior art embodiments of braces having strap elements that cross posterior to the knee joint include U.S. Patent No. 4,817,588 to Gary Bledsoe (Bledsoe) and U.S. Patent No. 6,368,297 to Jan F.A. Smits (Smits).
  • Bledsoe discloses a restraining strap network positioned entirely behind the knee that has to cooperate with additional brace elements including hinges and connecting means to connect the brace elements to the wearer's leg. Bledsoe does not disclose embodiments of the strap network extending anterior to the limbs about the joint.
  • Smits discloses a brace having a strap that crosses at the back of the knee that like Bledsoe is entirely behind the knee and has to cooperate with other brace elements. Smits also specifically uses stop portions in a hinge to limit extension of the brace elements. Smits does not disclose limiting extension of the brace with the strap.
  • Embodiments of the elastic hyperextension brace assembly utilize an elastic cross-strap attached to mounting facilities about a joint to limit the extension of limbs about the joint.
  • the cross-strap has elastic properties that allow it to provide progressive resistance as the strap is stretched.
  • the elastic cross-strap assembly is positioned from a cross origin behind the joint to attachment points on upper and lower mounting facilities on the upper and lower limbs and provides an opposing tensile force that limits the extension of the mounting facilities and the limbs about a joint.
  • the brace assembly provides a resisting force to resist hyperextension of the knee.
  • Embodiments of the assembly are able to accommodate different joints, different size wearer's of the assembly and different tension settings such as for athletes during competition.
  • Embodiments of the brace can be used bilaterally and can be made without metal bracing to comply with the requirements of some sports.
  • An object of embodiments of the invention is to provide an elastic knee brace assembly having an upper mounting facility for positioning the brace assembly about the thigh area of a user's leg, a lower mounting facility for positioning the brace assembly about the shin area of the user's leg, a elastic cross-strap having a cross origin, and the cross-strap is attachable to the upper and lower mounting facilities whereby the cross-strap limits the extension of the upper mounting facility and the lower mounting facility about the joint when the cross origin is positioned posterior to the user's knee.
  • the upper and lower mounting facility are operably connected with a flexible upright comprising a rigid material capable of bending about its longitudinal axis without stretching or compressing along its longitudinal axis.
  • It is another object of embodiments of the invention to provide a knee brace assembly where the upper mounting facility has an upper mount front portion, the lower mounting facility has a lower mount front portion, the elastic cross-strap further comprising at least two upper arms to connect to the upper mounting facility at an upper attachment point and at least two lower arms to connect to the lower mounting facility at a lower attachment point, the cross-strap having at least two lengths extending along each upper and lower arm and between the upper and lower attachment point, and the cross- strap having an adjusting facility to adjust the at least two lengths to adjust the tension in the elastic cross-strap.
  • the elastic cross-strap comprises at least two straps, each strap having an upper and lower end, the two strap upper ends comprise the upper arms and the two strap lower ends comprise the lower arms, and the two straps are capable of being woven about the user's leg to create an x-pattern as the cross origin.
  • the elastic cross-strap comprises an x-shaped strap having the cross origin, the at least two upper arms and the at least two lower arms
  • the lower mounting facility comprises a shin shell having a means to secure the shin shell about the shin area and a means to attach the shin shell to the cross strap arms
  • the upper mounting facility comprises a thigh cuff of a knee brace
  • the lower mounting facility comprises a tibial cuff of a knee brace.
  • an elastic hyperextension brace assembly having an upper mounting facility capable of securing a brace on a user's first limb about a joint, a lower mounting facility capable of securing the brace on a user's second limb about the joint, an elastic cross-strap having at least two arms attachable to the first and second mounting facility, at least one of the arms capable of extending from the lower mounting facility laterally to a position posterior to the joint and continuing medial to the upper attachment point, and at least one of the arms capable of extending from the lower mounting facility medially to a position posterior to the joint and continuing lateral to the upper attachment point whereby the cross-strap is capable of limiting the extension of the user's first and second limb about the joint.
  • an elastic brace assembly comprising an elastic cross-strap forming an upper mounting facility and a lower mounting facility and the elastic cross-strap further forming a cross origin between the upper and lower mounting facilities whereby the cross-strap provides a resistance force to an extension of the upper mounting facility and the lower mounting facility about the cross origin when the cross origin is positioned posterior to the user's joint.
  • the elastic cross-strap further comprises at least one portion forming a strap arm extending from the cross origin to at least one upper anterior resistance point and at least one portion forming a strap arm extending from the cross origin to at least one lower anterior resistance point.
  • the upper and lower anterior resistance points are portions of the strap arms providing the resistance force to the extension of the upper and lower mounting facility about the cross origin.
  • an elastic hyperextension brace assembly having at least one side brace element having an upper and lower brace portion, an elastic cross-strap and the elastic cross-strap attached to the side brace elements whereby the elastic cross-strap is capable of providing a resistance force to an extension of the upper and lower brace portions about a joint bending axis when the side brace elements are mounted about the bending axis.
  • the upper and lower portions of the side brace are connected by a hinge or a flexible upright.
  • FIG. IA illustrates a front view of one embodiment of the brace assembly showing a shin shell.
  • FIG. IB illustrates a side view of the embodiment the brace assembly of FIG. IA mounted on the knee of a wearer.
  • FIG. 2 illustrates a side view of one embodiment of the brace assembly having an upper and lower mounting facility.
  • FIG. 3 illustrates the force patterns of one embodiment of the cross-strap when mounted around a knee.
  • FIG. 4A illustrates a front view of one embodiment of the brace assembly comprising a single cross-strap about the knee of a wearer.
  • FIG. 4B illustrates a rear view of one embodiment of the brace assembly comprising a single cross-strap about the knee of a wearer.
  • FIG. 5 illustrates a rear view of one embodiment of the brace assembly having an x-shaped cross-strap cooperating with a sleeve.
  • FIG. 6 illustrates a side view of one embodiment of the brace assembly showing the cross-strap attachment to the upper and lower mounting facilities on a sleeve.
  • FIG. 7 illustrates a front view of another embodiment of the brace assembly with the side brace elements extended.
  • FIG. 8 illustrates a front view of one embodiment of a brace assembly positioned as if it were put on a wearer's leg.
  • FIG. 9 illustrates a front view of another embodiment of the lower portions of a brace assembly with a shin shell positioned as if it were on a wearer's leg.
  • FIG. 10 illustrates a rear view of another embodiment of the brace assembly.
  • FIG. 1 IA illustrates a side view of another embodiment of the brace assembly mounted about a wearer's knee.
  • FIG. 1 IB illustrates a front view of the embodiment in FIG. 1 IA as if it were on a wearer's leg.
  • Embodiments of this new brace assembly comprise a non-rigid or semirigid brace utilizing an elastic cross-strap to provide a progressive resisting force to joint hyperextension.
  • Embodiments of this brace assembly may optionally include a flexible sleeve or other traditional brace components. Although embodiments of the assembly do not need side hinges, metal upright stays or braces and hinges, it is contemplated that embodiments of the brace assembly can also include these elements.
  • Embodiments of this new brace assembly comprise at least one elastic hyperextension cross-strap, at least one upper mounting facility and at least one lower mounting facility.
  • the upper mounting facility positions and secures the brace assembly about the thigh area of a user's leg
  • the lower mounting facility positions and secures the brace assembly about the shin area of the user's leg
  • the elastic hyperextension cross-strap attaches to the upper and lower mounting facilities whereby the elastic cross-strap can provide progressively increasing resistance to the extension of the user's knee when the elastic cross-strap is positioned posterior to the user's knee.
  • the upper and lower mounting facility are defined entirely by the elastic hyperextension cross-strap to help secure the assembly to the user's leg.
  • the upper and lower mounting facility are separate elements are defined by portions of brace elements cooperating with the elastic cross-strap.
  • the brace assembly stabilizes the knee from hyperextension in the 5-25 degree range.
  • the elastic cross-strap 160 is an elongated element able to provide a progressive tensile resistance force and capable of creating a cross pattern that creates a cross origin and strap arms.
  • the elastic cross-strap also comprises means to attach ends of the straps, the strap arms, to the upper and lower mounting facilities.
  • the elastic cross-strap comprises one or more straps of pre-determined lengths and elastic cross- straps are selected based on the length needed for that wearer.
  • the elastic cross-strap has adjustment elements that allow the cross-strap to be adjusted to fit the wearer and provide different resistance properties to help prevent joint extension.
  • the elastic hyperextension cross-strap can be made from material to provide resistance to stretching in one direction.
  • the elastic cross-strap is a pliable elastic material that provides progressive resistance to stretching and as the material stretches, the resistance to stretching increases.
  • the resistance properties of embodiments function similar to the resistance properties of a rubber band.
  • the elastic material is similar to elastic sports tape.
  • the elastic material can comprise a rubber material, a plastic material or a spring that can provide resistance properties similar to those of a rubber band.
  • the elastic strap may comprise a combination of elastic and non- elastic material that still provide the elastic properties required of the strap.
  • these combinations may comprise combinations or laminates include cloths, fabrics, threads, struts or other materials combined with an elastic material through sewing, adhesives, Velcro attachment or even simple adjacent placement to elastic materials.
  • These combinations or laminates may comprise multiple materials that can increase the adherence of the cross- strap to itself or other materials and may be comprise combined materials at particular, not all areas of the strap. Combinations of elastomeric materials with varying resistance properties are also contemplated.
  • the length, width and elastic properties of the elastic cross-strap can be varied based on the properties desired for the wearer and/or the sport the wearer will participate in. Although some of the discussion relates to a single elastic cross-strap, it is understood that multiple elastic cross-straps or straps can be used to provide the functional properties of the elastic cross-strap. More than one elastic cross-strap or strap can be used such that their properties combine to provide the desired resistance properties.
  • the elastic cross-strap 160 has two cross-strap arms 162 and 164 respectively configured to attach to a lower arm end to a lower mounting facility 120 at a lower attachment point.
  • the lower mounting facility further comprises securing elements, such as straps 124 to engage the wearer's lower limb as well as points to attach this element to the other elements of the assembly.
  • securing elements such as straps 124 to engage the wearer's lower limb as well as points to attach this element to the other elements of the assembly.
  • Embodiments of the lower mounting facility include but are not limited to a hard shell, pad, cuff, portions of the strap, portions of a sleeve or any other element capable of mounting the brace to the wearer's limb.
  • the lower mounting facility 120 is a shin shell 121 mounted anterior to the knee and just below the wearer's knee with securing straps 124.
  • the tibial shell can be made of a flexible material or when desired, it can be made of more rigid material to provide some tibial protection to the wearer.
  • Means to attach the elastic cross-strap arms to the mounting facilities include, but are not limited to common attachment means such as: rigid fasteners such as rivets, adhesives or sewing; slidable attachment points such as slots or channels, pivoting fasteners such as rivets or buttons; and removable fasteners such as Velcro, buttons, buckles, snaps or hooks. It is contemplated that the means of attachment, such as with Velcro straps or buckles, will let the cross-strap be tightened or loosened as desired for comfort, support or specific resistance reasons. [0059] As shown, the attachment of the elastic cross-strap in FIG.
  • FIG. 1 is through lower attachment points that comprise multiple openings 122 in the shell positioned so that the elastic cross-strap arms 162 and 164 weave through the shell and extend up towards the wearer's thigh.
  • these elastic straps extend from the anterior tibia at the patellar attachment and wrap posterior with one wrapping medial and one wrap laterally to attach to the wearer's anterior thigh pad.
  • This "X-strap" configuration creates elastic straps running from an anterior tibial pad 121 with one strap medial and one strap lateral to cross like an X in the popliteal fossa 103 behind the knee 105, then coming back to an anterior of thigh pad 140 in the middle to upper one-third of the thigh.
  • the shin shell can be configured to allow the same straps, or additional straps, clips or bands, to wrap around the wearer's lower leg to secure the lower arms of the elastic cross-strap.
  • the upper mounting facility positions the brace assembly about the upper limb of a user's joint. Embodiments of this facility can similarly include those possible for the lower mounting facility.
  • the upper arms of the elastic cross-strap are configured to connect to each other and perform the function of the upper mounting facility 140, much like a thigh pad in a traditional knee brace.
  • the thigh side connection is made by connectors 146 A and 146 B on the end of the upper arms extending up the wearer's thigh.
  • this connection is made by complementary hook and loop type Velcro fasteners on the thigh end of the straps but any connection means can be used such as but not limited to complementary hooks, buttons, buckles, slots, loops, adhesives or clips.
  • the thigh end of the straps can provide the functionality of a thigh cuff in traditional knee braces by wrapping the straps around the wearer's thigh to help secure the assembly to the thigh.
  • sections of the upper arms also contain optional facility attachment elements defining a facility attachment point 142 that allows the upper arms to attach to the upper mounting facility in particular places such as the anterior position shown. Examples of attachment element can include all those possible for the lower mounting facility.
  • the attachment elements comprise matching Velcro sections attached on the upper arms of the elastic cross-strap. These sections are placed on the elastic cross-strap arms 162 and 164 in pre-determined locations that will allow proper positioning of the elements and help ensure the attachment can be maintained anterior to the limb and towards a front portion of the mounting facility.
  • the attachment point 142 functions generally as an upper anterior resistance point and a point generally mid- way between the lower attachment points functions as the lower anterior resistance point.
  • the thigh pad 240 can comprise any non-rigid material that can engage the wearer's thigh and attach this pad to other elements of the assembly. Suitable materials for this pad include but are not limited to cloth, cotton, plastic, nylon, mesh and leather. This pad may further include padding or may be heat pliable, molded or contoured to be more comfortable for the wearer.
  • the embodiment in FIG. 2 illustrates one embodiment of an anterior thigh pad 240 which can be shaped to the contour of the medial anterior thigh above the vastus medialis oblique.
  • FIG. 2 also shows that embodiments of the assembly 200 can include a lower mounting facility 220 having a tibial pad 221 with similar mechanical characteristics as the thigh pad 240.
  • the mounting facilities 220 and 240 include at least one securing strap 224 and 244 operably connected to the facilities to secure them onto the wearer's limbs. Any means to secure the pads and tighten the pads onto the wearer's body is suitable.
  • a Velcro type securing strap is attached to each of the pads and when the strap is secured to the pad around the wearer's limb, the pads are secured to the wearer.
  • Other suitable means to secure the facilities to wearer's limbs include but are not limited to a sleeve around the limb and straps with adjusting facilities such as buckles.
  • the securing straps 224 and 244 can also provide the attachment means for the pads to the elastic straps.
  • the securing strap may wrap all the way around the limb and have the attachment means so that when the securing strap is secured to the pads, the elastic cross-straps are attached to the securing strap.
  • the elastic cross-strap 260 is attached to the upper and lower mounting facilities at upper and lower facility attachment points 242 and 222. This attachment can be made using any means that will secure the ends of the elastic cross-straps onto the mounting facilities and is generally made at a front portion of the mounting facility. As shown in FIG. 2, the elastic cross-strap arms are permanently attached to the attachment points 242 and 222 on the facility front portions 248 and 228 by rivets at strap attachment points 276 and 286. Attachment means includes any of the attachment means already described. If the thigh pad is not used, the elastic cross-straps can be wrapped around the wearer's thigh and connected to themselves to secure the assembly to the wearer.
  • the attachment points 242 and 222 function generally as the upper and lower anterior resistance points respectively.
  • FIG. 2 also illustrates the adjusting facilities that can be used to adjust the length of the elastic cross-strap.
  • Adjustment element 278 comprises a buckle that allows the arms 272 and 282 of the elastic cross- strap to be put through the buckle and adjusted.
  • adjusting facility on the other side of the brace can be provided but is not shown.
  • suitable adjusting facilities include but are not limited to buttons, Velcro, snaps or hooks or any type of adjustable connections that allows a connection that can alter the length or resistance properties of the elastic cross-strap. It is understood that providing elastic cross-straps of varying length is also another example of a suitable adjusting facility.
  • the elastic cross-strap it is beneficial for the elastic cross-strap to provide a sufficient resistance force to an extension of the limbs about a joint at or near an anterior point of the wearer's leg.
  • This resistance force is applied to the limbs about a joint by resisting an extension of elements of the brace itself between the cross origin and the anterior resistance points.
  • elements of the brace are able to help limbs resist their extension about the bending axis of the joint.
  • the bending axis of the joint is the actual or conceptually equivalent point of the joint about which the limb portions bend or rotate.
  • the anterior resistance point is preferably positioned anterior to the joint at a front portion of the mounting facilities.
  • the anterior resistance point is typically the point at which the resistance force is applied to the brace portion that applies that resistance force to an extension force applied to the brace by the extension of the limbs.
  • the anterior resistance point is the same as the attachment points. For example, as represented in FIG. 3 A and 3B, this assembly benefits from a configuration that maximizes the tensile force that the elastic cross-straps can provide. In FIG.
  • the lines 372 and 382 represent the upper and lower elastic cross-strap arms respectively of an elastic cross-strap and the points 376 and 386 represent their strap attachment points and point 366 represents the cross origin.
  • the cross origin 366 would be posterior to the joint bending axis.
  • the attachment points represent examples of the upper and lower anterior resistance points from which the cross-strap provides the resistive force that counters the extension force caused by a joint extending.
  • the line 309 generally represents the front part of the wearer's leg. Using the upper strap attachment point 376 as an example, the resistance force Fl that upper elastic cross-strap upper arm 372 provides at the upper anterior resistance point can be translated into FlsubX and FlsubY forces as shown.
  • FlsubX FeAl
  • the resistance force FlsubX to be applied is less. Therefore, as designed, the attachment of the elastic cross-strap onto the brace assembly towards the anterior, or front portion of the brace, provides more resistance than known prior art brace assemblies with straps that provide predominantly posterior resistance points and smaller angles at Al. This positioning also reduces the force that would otherwise be put on the brace in the direction of Flsuby. By reducing this force, the forces that would tend to cause the brace mounting facilities to migrate towards each other are reduced.
  • the resulting angles shown in FIGS. 3 A and 3B will vary for each patient given their size, strength in order to control extension of the joint.
  • the angle from the lower attachment point and upper attachment point about the cross origin can be in a range of about 50 to 160 degrees, 60 to 140 degrees or 75 to 115 degrees.
  • embodiments utilizing an elastic cross-strap also provide the benefit of eliminating the hard stop typical of prior art embodiments that use hard stop features such as in a hinge or with a non- elastic strap. This lack of a hard stop helps prevent migration of the brace and reduces the jerking feeling making the brace more comfortable for the wearer.
  • the inclusion of providing progressive resistance with the elastic cross-strap provides additional benefits.
  • the elastic properties of the cross-strap can provide resistive properties earlier in the motion arch of the joint thereby controlling extension sooner. Additionally, the elastic properties can provide increasing resistance in a linear fashion as the joint goes from flexion to extension which increases neuromuscular control and causes the extensor muscles to gradually strengthen which is good for joint stability.
  • One embodiment of the brace assembly comprises a single elastic cross- strap mounted in a way that provides the functionality of the brace. As shown in FIGS. 4A and 4B, this embodiment comprises a single elastic cross-strap 460 that is wrapped around the wearer's shin 402 to create the lower mounting facility 420, the arms of the elastic cross-strap are then wrapped behind the knee to cross in the popliteal fossa of the knee to create the cross origin 466. The arms are then extended and wrapped around the wearer's thigh 404 to create the upper mounting facility 440.
  • the wrapping around the shin 402 may start with the middle of the elastic cross-strap 460 being placed in the back of the calf. The wrapping can continue around the lower leg once or multiple times. At the point that the elastic cross-strap is extended from a position anterior to the shin and then up behind the knee. There may be elements to help define the strap attachment points 486 to assist in keeping the arms of the cross-strap properly positioned anterior to the joint.
  • the wrapping around the thigh 404 may also be done once or multiple times with attachment means such as hooks, bands, buttons, buckles, loops, clips, Velcro or straps to keep the straps together and define the strap attachment point 476.
  • any connection means already disclosed such as complementary hook-and-loop (Velcro) connectors can be used to secure the upper arms to each other.
  • Velcro complementary hook-and-loop
  • the strap attachment points 476 and 486 function generally as the upper and lower anterior resistance points respectively.
  • FIGS. 4A and 4B illustrate an embodiment of a single strap with two free ends
  • embodiments of one single strap in a loop are contemplated that can similarly be used as the brace assembly.
  • FIG. 10 One embodiment similar to that in FIGS. 4A and 4B is shown in FIG. 10.
  • This embodiment comprises a wrap material such as latex or latex-free Esmark Wrap sold by Medline Industries of Mansfield Massachusetts being used as the hyperextension cross-strap.
  • the wrap 1060 is positioned about the joint as described with the embodiment shown in FIGS. 4A and B and secured about the wearer's leg by any type of securing means such as an adhesive tape 1012, securing the wrap to itself by wrapping it around the leg in multiple layers or by having a multiple property elastic cross-strap that allows the strap to adhere to itself.
  • FIG. 5 Another embodiment of the brace assembly utilizes a single elastic x-strap as the elastic cross-strap.
  • the assembly 500 has a single elastic x- strap 560 having a cross origin 566, upper arms 572, lower arms 582 and attachment points (shown in FIG. 6 as fasteners 673 and 683).
  • This elastic x-strap functions similar to the crossed single elastic cross-strap.
  • elastic the x-strap arms have Velcro fasteners that act as adjustment elements 578 and 588 on their end. These ends connect through loops 579 that are attached to Velcro fasteners (not shown) on both the upper and lower mounting facility.
  • Adjustment element 578 is able to be pulled through the loops 579 and secured to itself at different positions creating arms of different lengths.
  • this elastic x-strap is long enough to extend from the anterior tibia at the patellar attachment and wrap posteriorly with one arm wrapping medial and one wrapping laterally to attach to the wearer's anterior thigh pad.
  • This elastic "X-strap" configuration creates arms running from an anterior tibial pad with one strap medial and one strap lateral to cross like an X in the popliteal fossa of the knee, then coming back to an anterior thigh pad in the middle to upper one-third of the thigh.
  • embodiments having two elastic straps can be made where two elastic straps are used to create the elastic cross-strap.
  • Embodiments of a brace assembly also include having a brace sleeve to provide assembly elements.
  • This type of embodiment is shown in FIGS. 5 and 6.
  • the upper and lower portions of the sleeve, 640 and 620 can function as the including the upper and lower mounting facilities respectively.
  • the sleeve in these embodiments will rest against the wearer's skin.
  • the surface of the sleeve that will touch the wearer's skin, the under sleeve, is a non-slick surface to frictionally engage the wearers limb.
  • the inner surface of the sleeve 696 comprises an open faced diamond shaped web weave that frictionally engages the skin and also allows portions of the skin surface to be exposed.
  • frictional surface of the under sleeve include but are not limited to high friction surfaces such as rubber, felt, mesh or any combination of these surfaces. It is contemplated that under sleeve material can be used so that the under sleeve is in contact with the skin around the knee under the elastic straps to help keep them in place.
  • embodiments of the brace assembly 600 can include additional fasteners 673 and 683. These fasteners provide the attachment between the upper and lower mounting facilities and the ends of the elastic cross-strap 660 and function as the strap attachment points.
  • the facility attachment points 642 and 622 on the mounting facilities comprises an entire anterior area of the brace having hook-and-loop type fasteners that can match with the under surface of the fasteners 673 and 683.
  • the placement of the fasteners 673 and 683 up and down length of the brace adjusts the effective length of the elastic cross-strap about the wearer's knee.
  • This adjustment can be used in cooperation with the adjustment from the adjustment elements 678 and 688 to adjust the length of the elastic cross-strap.
  • these additional fasteners can be a separate element from the elastic cross-strap and the strap arms, they function as an extension of the elastic cross-strap.
  • Embodiments of the brace assembly without metallic or rigid elements able to comply with current sporting regulations, such as the FIFA rules.
  • the embodiment shown in FIG. 6 also includes optional flexible uprights 697 on one or both sides of the brace.
  • An upright as used in this description is a hinge that has a high degree of axial stiffness and a high degree of bending flexibility. Examples of suitable uprights would be coiled spring cables, chain links or ball-and- socket links, planar struts or flexible struts that prevent the upper and lower mounting facilities from urging towards each other when the assembly is subjected to the forces of the elastic straps.
  • the upright has the capability to bend in one or more planes while not compressing.
  • the upright can be directly connected to the pads, sewn into the sleeve or be attached to other elements that are connected to the pads to keep the pads from urging towards each other.
  • suitable material for the uprights include, but is not limited to metals, Kevlar or carbon fiber type construction that will provide flexibility but not let the upright compress.
  • Suitable overall shapes for the upright include but are not limited to a flexible rod that easily allows flexing of the knee when the uprights are installed on the wearer's leg.
  • Embodiments of the brace assembly can also include traditional knee braces elements such as upper and lower frames with central hinges as well as structures for patellar control.
  • the elastic cross-strap could be added to these assemblies to provide additional support and hyperextension protection.
  • the elastic cross- strap 260 can function with a thigh cuff 240 and a tibia cuff 221.
  • the elastic cross-strap crosses behind the knee and the arms attach to the facility attachment points 242 and 222 on the cuffs.
  • the hinge 290 of the brace can be of any type uses with traditional braces to include, but not limited to monocentric hinges, polycentric hinges, flexible uprights or any other hinge commonly used in joint braces.
  • Embodiments of the brace assembly can also include an elastic cross-strap with a single rigid side strut and hinge or flexible upright.
  • this type of embodiment could be worn as a prophylactic brace on the lateral side of the knee to reduce knee injuries and reduce the chances of rigid brace elements colliding with each other and interfering with the user's leg movement.
  • the cross- strap can comprise any of the descriptions included herein and is attached to the side strut or upright using the attachments means disclosed.
  • the single rigid side strut and hinge can be similar to any of the side brace and hinge designs disclosed and the flexible upright can be similar to any of the flexible uprights disclosed in other embodiments with or without a sleeve.
  • FIG. 7 shows a front view of one embodiment of the brace assembly 700 with the side brace elements 730A and 730B turned forward for illustration.
  • the upper and lower mounting facilities are defined by upper and lower portions of multiple side brace elements together with connector elements.
  • One side brace element e.g. medial
  • the other brace element e.g. lateral
  • This embodiment cooperates with an elastic hyperextension cross-strap 760 that is attached at various points to the side brace elements.
  • the lower mounting facility is defined by the lower portion of both side brace elements (734A and 734B) together with the portion of the elastic cross-strap 760 attached to the lower brace portions.
  • the upper mounting facility is defined by the upper portions (732A and 732B) of the medial and lateral brace elements cooperating with portions of the attached elastic cross-strap 760.
  • the composition of the side brace elements in this embodiment can be of any rigid or semi-rigid material that can engage the side of a wearer' s leg, attach the side elements to the elastic hyperextension cross-strap and provide a degree of rigidity to the assembly when stationary or when the upper and lower mounting facilities pivot about the hinges. Suitable materials include but are not limited to plastics, metals, composites or any combination of these materials.
  • the brace elements may further include padding or may be heat pliable, molded or contoured to be more comfortable for the wearer. As shown (FIG. 8, 837), the side brace element includes an interior pad portion such as but not limited to foam, rubber, cloth, cotton, plastic, leather or any combination of these materials.
  • Side attachment points and on the side brace elements can include any means of attaching the elastic cross-strap to the brace elements.
  • one embodiment of the side attachment means comprises a series of slots such as 736A and 736B in the side brace elements.
  • the slots allow the elastic cross-strap to be put into one slot such as 736A and exit another slot such as 739A.
  • This "weaving" of the elastic cross-strap through the side brace element attaches that portion of that elastic cross-strap to that portion of the brace element.
  • the side attachment points allow the elastic cross-strap and brace elements to be adjusted for each user.
  • the weaving of the strap through the brace allows the strap to move within the slots and therefore adjust the position and/or tightening of the brace on a wearer.
  • the attachment means are offset as shown with one means, typically the attachment means posterior to the joint, closer to the brace hinge and the other means, typically the means most anterior, furthest from the brace hinge. This configuration assists in the proper positioning of the cross-strap within the brace and about the joint.
  • weaving through slots are shown as an example attachment means in this embodiment, it is understood that any method of attaching the elastic cross-strap to the side brace element is anticipated such as but not limited to hook- and-loop fasteners, hooks, buttons, clips, adhesives or any other attachment or connection means.
  • the side attachment points between the brace elements and the elastic cross-strap do not always coincide exactly with the configurations of attachment points as described above and shown in FIGS. 1, 2, 4, 6 and in particular FIG. 3. It is understood that with side brace embodiments, the resistance to hyperextension can still be performed by the elastic cross-strap that is wrapped around the front portion of the wearer's leg.
  • the elastic cross-strap defines an anterior resistance point that will typically lie somewhere about half-way between the elastic cross-straps attachment to one brace element and the other (for example, between 739 A and 739B). It is from this anterior resistance point of the elastic cross-strap, that the attachment point and anterior resistance point benefits described in FIGS. 3 A and 3B are gained.
  • FIGS. 1 IA and 1 IB comprises brace assembly 1100 having a single lateral side brace configured with upper and lower paddle shaped side brace elements 1132 and 1134 respectively, extending from the hinge 1190 and hooking towards the anterior side of the brace assembly.
  • the paddle shape provides some rigidity to the brace assembly while also helping the cross-strap 1160 maintain a beneficial position anterior to the joint providing a better anterior resistance point. Additionally, because only one lateral side brace is used, this can minimize the collision of brace assembly elements that may otherwise occur with rigid or semi-rigid medial side brace elements.
  • the attachment means such as slot 1139
  • the attachment means can be positioned on the end of the paddle so that it will allow both the attachment of the cross-strap coming from the lateral side of the joint, as well as help secure the cross-strap coming from the medial side of the joint.
  • the slot 1139 is positioned lower on the paddle end so that the cooperation of the paddle end and the cross-strap coming lateral helps position the cross-strap portion going medial from the upper mounting facility so that it is not urged towards the joint when put under tension.
  • the same type of configuration can be used on the lower paddle as shown. It is understood, that other means to guide the cross-strap at the ends of the paddles can be used such as but not limited to ridges, multiple slots, channels, rings or other attachment means.
  • the distal ends of the paddles can have two open slots that are dimensioned to allow the cross-strap to be easily put into the slots while the slots help prevent the cross-strap portions in the slots from urging towards the joint when the strap is put under tension.
  • composition of the elastic hyperextension cross-strap is similar to the descriptions described for other embodiments.
  • FIG. 8 When assembled, as shown in FIG. 8 (with the wearer's knee), embodiments of the brace assembly function similar to the embodiments describe herein.
  • the upper mounting facility is shown generally as 840 and the lower mounting facility is shown generally as 820.
  • the upper portions (832A and 832B) and lower portions (834A and 834B) of the brace elements can pivot about the hinges 890.
  • a portion of the elastic cross-strap (860B) wraps around the front of the wearer's leg about the thigh
  • another portion of the elastic cross-strap (860A) wraps around the front of the wearer's leg about the tibia and the elastic cross-strap crosses behind the knee creating a cross-origin 866.
  • the side brace elements help keep the position of the elastic cross-strap as well as provide some rigidity to the assembly.
  • an optional securing strap 838 can be strapped around the wearer's leg to help secure the brace assembly on the leg.
  • the securing strap is secured to both of the side brace elements at a securing point and can include a buckle 839 or other means to connect the ends of the securing strap. It is understood that securing straps can be used on either the upper or lower portions or both portions.
  • the securing strap may also be used around the front of the wearer's leg if necessary and can be positioned at various locations between the hinge and the distal end of the brace portions.
  • the brace assembly 900 with side brace elements can be integrated with embodiments similar to those shown in FIGS. IA and IB.
  • a shin shell 921 can be attached to portions of the elastic cross-strap 960 so that the shin shell provides some protection to the shin of the wearer.
  • the upper shaped edge 927 of the shin shell in embodiments can be shaped to align with the exterior shape of the tibial tubercle of the knee.
  • the shin shell can also be made of a flexible material or when desired, it can made of more rigid material to provide some tibial protection to the wearer.
  • One embodiment of the brace assembly further comprises configuring the tibial pad to function as an endo- skeleton such as with a wearer's shin guard, as may be required in a sport such as soccer, to support anterior tibia and anterior drawer control.
  • FIG. 9 shows the shin shell attached to a shin guard 929.
  • the assembly can be capable of being integrated with a patellar control-open patellar donut as prescribed.
  • the assembly may include straps for patellar subluxation that stabilizes the elastic cross-strap or hinges.
  • the assembly further includes a covering that can be decorative and/or can provide a sleek/smooth surface for the wearer.
  • FIGS. IA and IB One embodiment of the invention, as shown in FIGS. IA and IB, is used about a wearer's knee 105.
  • the brace assembly 100 is initially secured on the wearer's shin 102. This is done by securing the shin shell 121 on the shin 102 and wrapping the securing straps 124 around the calf. This securing is done at a point of that calf such that the movement of the shell towards the knee is minimized.
  • the elastic cross-strap arms 162 and 164 are wrapped behind the knee creating an x-pattern as the cross origin 166 in the popliteal fossa of the knee and then wrapped anterior and around the thigh.
  • Connectors 146A and 146B, such as Velcro, of the strap arms 162 and 164 are secured to each other forming the upper mounting facility 140.
  • the upper arms of the cross-strap are attached to matching Velcro fasteners on the cross- strap such that they create facility attachment point 142 anterior on the thigh.
  • the placement of the upper mounting facility 140 is done to minimize the movement of the facility towards the knee 105.
  • the presence of the elastic straps in the X configuration helps prevent the knee from hyperextension. Hyperextension is prevented by the cooperation of the secured ends of the straps with the positioning of the straps behind the knee.
  • the elastic properties of the cross-strap can provide resistive properties early in the motion arch of the joint thereby help control extension early in the motion arch. As the joint extends, the elastic straps stretch and provide progressively more resistance. When the knee reaches a desired limit, the elastic straps reach a significant resistance level that prevents further extension. This resistance does not provide a hard stop of the extension.
  • brace migration is minimized as well as the discomfort caused by sudden jerking of the brace when the hard stop if reached. Additionally, this resistance approach uniquely provides therapeutic benefits such as increasing neuromuscular control and causing the extensor muscles to gradually strengthen which is beneficial for joint stability.
  • the point of attachment, facility attachment points 142 and 122, of the elastic straps and the thigh and tibial pad respectively are such that the desired resistance provided by the anterior resistance points allow proper knee movement but prevents hyperextension. Additionally, if the brace assembly 100 has good frictional contact with the skin, rotational support of the knee joint is also provided. As the wearer uses the brace assembly, and as their need for support and/or comfort changes, the elastic straps can be tightened or loosened to change the elastic tension on the system by simply removing and reattaching the straps with the Velcro attaching means.
  • FIG. 4 operates similar to FIG. 1.
  • the elastic cross-strap 460 is used to function as both the lower mounting facility 420 and the upper mounting facility 440. This can start with the elastic cross- strap being initially wrapped around the shin 402 of the wearer and crossing the arms around each other anterior to the shin. Once secured on the shin 402, the same methods described for FIG. 1 can be followed to mount the brace assembly on the knee.
  • the anterior resistance points are at points of the elastic cross-strap at the front of the wearer's thigh and shin such as at strap attachment points 476 and 486.
  • FIG. 10 operates similar to the embodiments described for FIGS. 1 and 4.
  • FIGS. 2, 5 and 6 operate in a similar manner to those shown in FIGS. 1 and 4.
  • the upper and lower cuff or the sleeve is mounted around the knee and the cross-strap is attached to the attachment points and adjusted.
  • the elastic cross-straps can be adjusted so that the length of the upper and lower arms between the attachment points is made longer or shorter depending on the person wearing the brace assembly and the desired tension.
  • the uprights can be contained within the under sleeve or other covering that connects the hinges to the upper and lower pad. The placement of the uprights maintain the relative distance between the upper and lower pad and therefore helps maintain the resistance and support provided by the elastic straps.
  • FIGS. 7-9 operate similar to those in FIGS. 1 and 4.
  • the elastic cross-strap can already be attached through the slots in the brace elements or it can be attached as part of putting the brace on by the wearer.
  • the wearer puts their leg between the cross origin of the elastic cross-strap and the portions of the elastic cross-strap that become positioned on the front of the wearer's leg.
  • the brace assembly is positioned so that the upper mounting facility is positioned above the joint and the lower mounting facility is positioned below the joint.
  • the elastic cross-strap is then adjusted with respect to the side attachment points by sliding the strap in and out of the slots.
  • the connectors on the end of the strap are unconnected to allow more adjustment of the strap. Once adjusted, the connectors are secured to each other so that the brace assembly is secured around the wearer' s leg about the joint and provides the adequate amount of tension. If provided, the securing strap can be adjustably connected by a buckle to help further secure the brace on the wearer's leg. Once secured, the upper mounting facility is able to pivot about the hinge while the cooperation of the cross-origin with other portions of the elastic cross-strap help prevent the wearer's knee from hyperextension.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (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)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

Les modes de réalisation de l'ensemble orthèse permettant de lutter contre l'hyperextension utilisent une sangle transversale fixée à un élément de montage autour d'une articulation pour limiter de façon progressive, en fournissant une résistance, l'extension des membres autour d'une articulation. L'ensemble sangle transversale est positionné à partir d'un point d'origine transversal derrière l'articulation jusqu'à des points de fixation sur un élément de montage supérieur et inférieur sur des parties de membres supérieurs et inférieurs et fournit une force de résistance à la traction qui limite l'extension de l'élément de montage et des membres. Dans des modes de réalisation pour une articulation du genou, l'ensemble orthèse fournit une force de résistance progressive destinée à résister à une hyperextension du genou. Les modes de réalisation de l'ensemble peuvent s'adapter à différentes articulations, à différentes tailles du porteur de l'ensemble et à différents réglages de tension, tels que pour des athlètes durant une compétition. Les modes de réalisation de l'orthèse peuvent être utilisés de façon bilatérale et peuvent être réalisés sans renfort métallique afin de se conformer aux exigences de certains sports.
PCT/US2009/067152 2008-06-03 2009-12-08 Ensemble orthèse élastique permettant de lutter contre l'hyperextension et procédés d'utilisation Ceased WO2010087899A2 (fr)

Priority Applications (7)

Application Number Priority Date Filing Date Title
US13/188,506 US8808211B2 (en) 2008-06-03 2011-07-22 Elastic brace assembly and methods of use
US13/541,796 US9320634B2 (en) 2008-06-03 2012-07-05 Training brace assembly and methods of use
US14/447,703 US9554934B2 (en) 2008-06-03 2014-07-31 Elastic brace assembly and methods of use
US15/195,618 US20160367391A1 (en) 2008-06-03 2016-06-28 Adjustable brace assembly and methods of use
US15/406,738 US10786381B2 (en) 2008-06-03 2017-01-15 Elastic brace assembly and methods of use
US15/423,851 US10675166B2 (en) 2008-06-03 2017-02-03 Adjustable brace assembly and methods of use
US16/384,841 US20190240054A1 (en) 2008-06-03 2019-04-15 Adjustable brace assembly and methods of use

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US14897309P 2009-02-01 2009-02-01
US61/148,973 2009-02-01
USPCT/US2009/046183 2009-06-03
PCT/US2009/046183 WO2009149217A2 (fr) 2008-06-03 2009-06-03 Ensemble orthèse d'hyper extension et procédés d'utilisation
US26272309P 2009-11-19 2009-11-19
US61/262,723 2009-11-19
US26373709P 2009-11-23 2009-11-23
US61/263,737 2009-11-23

Related Parent Applications (4)

Application Number Title Priority Date Filing Date
PCT/US2009/046183 Continuation-In-Part WO2009149217A2 (fr) 2008-06-03 2009-06-03 Ensemble orthèse d'hyper extension et procédés d'utilisation
US12/993,258 Continuation-In-Part US8852133B2 (en) 2008-06-03 2009-06-03 Hyperextension brace assembly and methods of use
US13/188,506 Continuation-In-Part US8808211B2 (en) 2008-06-03 2011-07-22 Elastic brace assembly and methods of use
US13/541,796 Continuation-In-Part US9320634B2 (en) 2008-06-03 2012-07-05 Training brace assembly and methods of use

Related Child Applications (4)

Application Number Title Priority Date Filing Date
PCT/US2009/046183 Continuation-In-Part WO2009149217A2 (fr) 2008-06-03 2009-06-03 Ensemble orthèse d'hyper extension et procédés d'utilisation
US12/993,258 Continuation-In-Part US8852133B2 (en) 2008-06-03 2009-06-03 Hyperextension brace assembly and methods of use
US13/188,506 Continuation-In-Part US8808211B2 (en) 2008-06-03 2011-07-22 Elastic brace assembly and methods of use
US13/541,796 Continuation-In-Part US9320634B2 (en) 2008-06-03 2012-07-05 Training brace assembly and methods of use

Publications (2)

Publication Number Publication Date
WO2010087899A2 true WO2010087899A2 (fr) 2010-08-05
WO2010087899A3 WO2010087899A3 (fr) 2010-10-07

Family

ID=42396246

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/067152 Ceased WO2010087899A2 (fr) 2008-06-03 2009-12-08 Ensemble orthèse élastique permettant de lutter contre l'hyperextension et procédés d'utilisation

Country Status (1)

Country Link
WO (1) WO2010087899A2 (fr)

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012079719A1 (fr) * 2010-12-15 2012-06-21 Bauerfeind Ag Orthèse pour amortissement de mouvement
DE102012106428A1 (de) * 2012-07-17 2014-01-23 Reha Technology GmbH Vorrichtung zur therapeutischen Behandlung, System zur gerätegestützten Lokomotionstherapie und Verfahren zur Steuerung der Vorrichtung
WO2014089331A1 (fr) * 2012-12-06 2014-06-12 Ossur Hf Stimulation électrique pour dispositifs orthopédiques
US8979782B2 (en) 2011-12-07 2015-03-17 Ossur Hf Hinge used for the treatment of anterior and posterior cruciate ligament injury and method for using the same
US9125730B2 (en) 2011-10-31 2015-09-08 Ossur Hf Orthopedic device for dynamically treating the knee
US9220624B2 (en) 2010-09-16 2015-12-29 Ossur Hf Posterior cruciate ligament support brace
US9351864B2 (en) 2013-01-25 2016-05-31 Ossur Hf Orthopedic device having a dynamic control system
US9539135B2 (en) 2013-01-25 2017-01-10 Ossur Hf Orthopedic device having a dynamic control system and method for using the same
US9597786B2 (en) 2013-08-22 2017-03-21 Ossur Hf Torque limiting tool and method for using the same
US10143581B2 (en) 2013-06-21 2018-12-04 Ossur Hf Dynamic tension system for orthopedic device
US10413437B2 (en) 2013-01-25 2019-09-17 Ossur Iceland Ehf Orthopedic device having a dynamic control system and method for using the same
US10512305B2 (en) 2014-07-11 2019-12-24 Ossur Hf Tightening system with a tension control mechanism
US10653546B2 (en) 2014-10-31 2020-05-19 Ossur Hf Orthopedic device having a dynamic control system
TWI718924B (zh) * 2020-04-08 2021-02-11 彪仕醫技股份有限公司 矯形器
US11547590B2 (en) 2017-11-27 2023-01-10 Ossur Iceland Ehf Orthopedic device having a suspension element

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH048891Y2 (fr) * 1988-04-05 1992-03-05
US20030204156A1 (en) * 2002-04-26 2003-10-30 Nelson Ronald E. Knee brace with patella stabilizer
ITVR20030036A1 (it) * 2003-03-27 2004-09-28 Fgp Srl Tutore per ginocchio varo o valgo.
KR100742181B1 (ko) * 2006-08-10 2007-07-24 류실근 무릎 보호대

Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9220624B2 (en) 2010-09-16 2015-12-29 Ossur Hf Posterior cruciate ligament support brace
CN103327938A (zh) * 2010-12-15 2013-09-25 鲍尔法因德股份有限公司 用于运动缓冲的矫形器
US10314731B2 (en) 2010-12-15 2019-06-11 Bauerfeind Ag Orthosis for movement damping
WO2012079719A1 (fr) * 2010-12-15 2012-06-21 Bauerfeind Ag Orthèse pour amortissement de mouvement
CN103327938B (zh) * 2010-12-15 2016-03-30 鲍尔法因德股份有限公司 用于运动缓冲的矫形器
US9763821B2 (en) 2011-10-31 2017-09-19 Ossur Iceland Ehf Orthopedic device for dynamically treating the knee
US10898363B2 (en) 2011-10-31 2021-01-26 Ossur Hf Orthopedic device for dynamically treating the knee
US9125730B2 (en) 2011-10-31 2015-09-08 Ossur Hf Orthopedic device for dynamically treating the knee
US9770356B2 (en) 2011-10-31 2017-09-26 Ossur Hf Orthopedic device for dynamically treating the knee
US9622899B2 (en) 2011-12-07 2017-04-18 Ossur Hf Device having hinge for treatment of anterior and posterior cruciate ligament injuries and method for using the same
US8979782B2 (en) 2011-12-07 2015-03-17 Ossur Hf Hinge used for the treatment of anterior and posterior cruciate ligament injury and method for using the same
DE102012106428A1 (de) * 2012-07-17 2014-01-23 Reha Technology GmbH Vorrichtung zur therapeutischen Behandlung, System zur gerätegestützten Lokomotionstherapie und Verfahren zur Steuerung der Vorrichtung
US9775662B2 (en) 2012-12-06 2017-10-03 Ossur Hf Electrical stimulation for orthopedic devices
WO2014089331A1 (fr) * 2012-12-06 2014-06-12 Ossur Hf Stimulation électrique pour dispositifs orthopédiques
US9539135B2 (en) 2013-01-25 2017-01-10 Ossur Hf Orthopedic device having a dynamic control system and method for using the same
US10413437B2 (en) 2013-01-25 2019-09-17 Ossur Iceland Ehf Orthopedic device having a dynamic control system and method for using the same
US11464662B2 (en) 2013-01-25 2022-10-11 Ossur Iceland Ehf Orthopedic device having a dynamic control system and method for using the same
US9351864B2 (en) 2013-01-25 2016-05-31 Ossur Hf Orthopedic device having a dynamic control system
US11160679B2 (en) 2013-06-21 2021-11-02 Ossur Hf Dynamic tension system for orthopedic device
US10143581B2 (en) 2013-06-21 2018-12-04 Ossur Hf Dynamic tension system for orthopedic device
US9597786B2 (en) 2013-08-22 2017-03-21 Ossur Hf Torque limiting tool and method for using the same
US10512305B2 (en) 2014-07-11 2019-12-24 Ossur Hf Tightening system with a tension control mechanism
US10653546B2 (en) 2014-10-31 2020-05-19 Ossur Hf Orthopedic device having a dynamic control system
US11628081B2 (en) 2014-10-31 2023-04-18 Ossur Hf Orthopedic device having a dynamic control system
US11547590B2 (en) 2017-11-27 2023-01-10 Ossur Iceland Ehf Orthopedic device having a suspension element
TWI718924B (zh) * 2020-04-08 2021-02-11 彪仕醫技股份有限公司 矯形器
US12150879B2 (en) 2020-04-08 2024-11-26 Plus Meditech Co., Ltd. Joint orthosis assembly

Also Published As

Publication number Publication date
WO2010087899A3 (fr) 2010-10-07

Similar Documents

Publication Publication Date Title
US8808211B2 (en) Elastic brace assembly and methods of use
WO2010087899A2 (fr) Ensemble orthèse élastique permettant de lutter contre l'hyperextension et procédés d'utilisation
US8852133B2 (en) Hyperextension brace assembly and methods of use
US10786381B2 (en) Elastic brace assembly and methods of use
USRE37297E1 (en) Dynamic orthopedic knee brace assembly
US5656023A (en) Adjustable knee support
CN105228564B (zh) 矫形装置及其固定方法
US4854308A (en) Knee orthosis having offset within hinges and anti-rotation straps
CN103327938B (zh) 用于运动缓冲的矫形器
US9320634B2 (en) Training brace assembly and methods of use
EP2246014B1 (fr) Attelle de genou et son procédé de fixation
EP3463215B1 (fr) Dispositif orthopédique
US5829055A (en) Protective leg guards
US10675166B2 (en) Adjustable brace assembly and methods of use
EP2512387B1 (fr) Dispositif orthopédique
US20160367391A1 (en) Adjustable brace assembly and methods of use
US20190240054A1 (en) Adjustable brace assembly and methods of use
JPH06285102A (ja) 弾性支持部材を有するヒンジ式整形外科用装具
KR20140099928A (ko) 지지대, 보호복 및 유사한 물품을 위한 잠금 시스템
US20140208490A1 (en) Self-adjusting system for joint protection
US11179260B2 (en) Knee brace devices, systems and methods
US11019858B1 (en) Self-adjusting system for joint protection
CA2457924A1 (fr) Protection contre le pincage de la peau destinee a une orthese pour le genou
CN115461018B (zh) 用于稳定人的解剖关节的装置和方法
WO2017072478A1 (fr) Orthèse de genou

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 09839457

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 09839457

Country of ref document: EP

Kind code of ref document: A2