EP0237395A1 - Autonomous apparatus permitting the standing-up and moving-on, by way of oscillation, of the permanently or temporarily motorically handicapped - Google Patents

Autonomous apparatus permitting the standing-up and moving-on, by way of oscillation, of the permanently or temporarily motorically handicapped Download PDF

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Publication number
EP0237395A1
EP0237395A1 EP87400384A EP87400384A EP0237395A1 EP 0237395 A1 EP0237395 A1 EP 0237395A1 EP 87400384 A EP87400384 A EP 87400384A EP 87400384 A EP87400384 A EP 87400384A EP 0237395 A1 EP0237395 A1 EP 0237395A1
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EP
European Patent Office
Prior art keywords
legs
support
user
frame
standing
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.)
Withdrawn
Application number
EP87400384A
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German (de)
French (fr)
Inventor
Daniel Levasseur
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Individual
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Individual
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Publication of EP0237395A1 publication Critical patent/EP0237395A1/en
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/14—Standing-up or sitting-down aids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for patients or disabled persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/30—Specific positions of the patient
    • A61G2200/36—Specific positions of the patient standing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/1056—Arrangements for adjusting the seat
    • A61G5/1075—Arrangements for adjusting the seat tilting the whole seat backwards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A61H3/04—Wheeled walking aids for patients or disabled persons
    • A61H2003/046—Wheeled walking aids for patients or disabled persons with braking means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1628—Pelvis
    • A61H2201/1633—Seat

Definitions

  • the invention relates to an apparatus for enabling persons having lost the use of their lower limbs - temporarily or permanently - to live in ta- tion s standing and moving well, with a pendulum motion.
  • the present invention provides a global solution to these problems.
  • the user takes place in the device, lowered into a seated position, on a retractable seat. It closes, around his waist, a flexible panty secured to the frame. Then he sets up two retaining straps, attached to the backrest. Its inert legs are placed in a support suitable for this purpose, and maintained by a suitable means, such as Velcro (registered trademark), for example.
  • the user raises the device. Initially, the front legs, located inside the frame, straighten, giving the device an inclined position, favorable to the relaxation of its user. In a second step, the rear legs, located outside the frame, straighten in turn, giving the whole vertical position. During this maneuver, the seat is retracted, and the user is suspended by the pelvis, in a standing position.
  • the user taking a half step, brings the two pairs of legs in a vertical position - parallel to each other -, carries the weight of his body on the side where he wishes to turn, performs the rotation by resting on the rods, and places his device in a stable position.
  • the user takes support on the English canes in front of his position, on the level immediately below, and makes cross the unevenness with the apparatus, whose two pairs of legs are parallel between them .
  • the legs of the user normally rest on the ground.
  • the leg support is raised, and the seat overshadowed in the rear position.
  • the arrangement of the legs of the device is different: a front leg is located inside the frame, as well as a rear leg.
  • the other two legs are located outside.
  • the inner legs by means of a suitable device (for example a fork), drive the legs of the user during walking, the weight of the latter being applied to them more or less significantly by the adjustment the height of the lift pants.
  • the other functions of the device are unchanged.
  • Fig. 1 shows the device in the original position, seated.
  • Fig. 2 shows the device in an inclined position for the relaxation of the user.
  • Fig. 3 shows the device in a standing position.
  • Fig. 4 shows the device seen from the front, standing.
  • Figs. 1, 2, 3 and 4 represent the device in the permanent use version, intended for the permanently disabled.
  • Figs. 5,6,7 and 8 represent the device in the temporary version, intended for the rehabilitation of the lower limbs.
  • the apparatus includes a frame 1, supporting support pants 2, a backrest 3, on which straps 4 and a headrest are fixed 5, a support 6 for the inanimate legs of the user, a seat retractable 7, two cranks 24 and 25, a mechanical closure 43.
  • the frame 1 is itself supported by four lateral legs 8, 9, 10 and 11, articulated at 12, 13, 14 and 15, oscillating on the pins 16, 17 18 and 19.
  • these articulated legs are located respectively: 8 and 9 inside the frame 1, 10 and 11 outside.
  • the temporary version according to Figs. 5, 6, 7 and 8, they are located respectively: 8 and 11 inside the frame 1, 9 and 10 outside.
  • the legs 8 and 11 are equipped with devices 20 and 21, which guide the legs of the user to be re-educated.
  • the apparatus is raised to the relaxed position, according to FIG. 2, by a simultaneous action on the cranks 24 and 25, which, driving the cables 26 and 27, by means of the wheel and worm systems 28 and 29, straighten, first, the front legs 8 and 9
  • the user completely straightens the device in the upright position, according to FIG. 3, by continuing the action on the cranks 24 and 25.
  • the wheel and auger systems end 28 and 29 ensure the tension of the cables 26 and 27, and guarantee the impossibility of an untimely descent of the assembly.
  • each of the legs of the device ends in a rubberized roller 30, integral with a yoke 31 articulated on an axis 33, and locked by a shoe 32, under the weight of the user, in the standing position (Fig. 1), and inclined (Fig. 2).
  • the legs 10 and 11 comprise, in addition, a device composed of a roller 34, integral with a yoke 35, connected by a rod 36 to a second yoke 37, controlled by the cable 26, via the pulley 38.
  • a spring 39 Between the yoke 37 and the rod 36, threaded thereon, is a spring 39.
  • the role of the latter is to absorb the tension of the cable 26, of the order of a few millimeters, each time that the leg 10 passes in front of leg 8. It is the same for cable 27 and legs 11 and 9.
  • the cable 26 In the standing position, according to FIG. 1, the cable 26 is stretched, and, pulling on the yokes 35 and 37, keeps the caster 30 locked against the shoe 32.
  • the cable 26 relaxes, and first releases the pressure imposed on the roller 30 by the roller 34 which acts on the length of the yoke 31 considered as a cam.
  • a return spring 40 facilitates this action. Therefore, the leg 10 can move back, tilting by its articulation around the axis 14, and causing the descent of the device. Continuation of the rotation of the crank 24 then makes it possible to lower the device by lowering the leg 8, which is articulated around the axis 12.
  • the device in the seated position according to FIG 1, comprises a retractable seat 7, supported by the support 6 intended for the inanimate legs of the user.
  • the seat 7 and the support 6 retain their respective positions by blocking the control 41. If the user wishes to leave the seated position (Fig. 1) to directly take up the standing position (Fig. 3), the control 41 is unlocked; the rigid seat 7 lowers in front of the support 6, which retracts behind it.
  • the straps 4, according to FIG. 4, as well as the support pants 2, are made integral with the frame 1 by closures of the type of those of automobile seat belts, for example.
  • the mechanical closure 43 in two parts articulated on the frame 1 by hinges, maintains the necessary rigidity of the latter when it is closed and locked by the mechanism 42. Its closure, preceded by that of the support pants 2 and that of the shoulder straps 4 is essential in order to be able to actuate the lifting cranks 24 and 25, for safety.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The apparatus is intended to permit the motorically handicapped to move in an upright position, by way of oscillation, to sit in a normal position or in an inclined position for relaxation, without help and without the provision of external energy. It consists of a framework (1) bearing support breeches (2) in which the user is suspended by the pelvis, held on a back part (3) by struts (4), his inanimate legs being positioned in a support (6) integral with a collapsible seat (7). Two pairs of lateral articulated legs (8,9,10,11) allow the user to move by displacement of the centre of gravity of the assembly beyond the bearing point of the legs positioned to the front, by pushing on walking sticks, for example. Two operating handles (24) and (25) allow the desired position to be adopted (standing, inclined for relaxation, seated). The invention is intended to offer the motorically handicapped an alternative to the wheelchair, allowing them to lead a life which is more independent and more akin to that of able-bodied persons.

Description

La présente invention concerne un appareil destiné à permettre aux personnes ayant perdu l'usage de leurs membres inférieurs - à titre temporaire ou définitif - de vivre en sta- tion debout, et de se déplacer de même, par une marche pendulaire.The invention relates to an apparatus for enabling persons having lost the use of their lower limbs - temporarily or permanently - to live in ta- tion s standing and moving well, with a pendulum motion.

Le matériel employé par les handicapés moteurs - à vie, ou pendant une période limitée de rééducation - pour leurs déplacements, n'a guère évolué depuis des décennies. Le plus connu est le fauteuil roulant, manuel ou électrique. Bien que perfectionné au fil des ans, et indispensable à de nombreux usagers (tétraplégiques), il présente des contraintes importantes, qui n'ont reçu, jusqu'alors, que des solutions partielles. Par exemple, la formation d'escarres, dûes à la position assise permanente; les difficultés - et bien souvent l'impossibilité - d'accès à des lieux publics ou non, faute d'aménagements adéquats; la fréquente nécessité de l'aide d'une tierce personne; et surtout, sur le plan psychologique, la condamnation à vivre assis, à un niveau inférieur à celui de la population valide.The equipment used by the physically disabled - for life, or during a limited period of rehabilitation - for their movements, has hardly changed in decades. The best known is the manual or electric wheelchair. Although perfected over the years, and essential for many users (quadriplegics), it presents significant constraints, which until now have only received partial solutions. For example, the formation of bedsores, due to the permanent sitting position; the difficulties - and very often the impossibility - of accessing public places or not, due to the lack of adequate facilities; the frequent need for help from a third party; and above all, on the psychological level, the condemnation to live seated, at a level lower than that of the valid population.

Des essais ont été tentés, pour remédier à cet état de fait, mais les résultats obtenus ne permettent pas, jusqu'à présent, d'en envisager une application facile et peu onéreuse à la plus grande part de la population des handicapés moteurs.Attempts have been made to remedy this state of affairs, but the results obtained do not so far make it possible to envisage an easy and inexpensive application thereof to the majority of the population of the physically disabled.

La présente invention apporte une solution globale à ces problèmes. L'utilisateur prend- place dans l'appareil, abaissé en position assise, sur un siège escamotable. Il referme, autour de sa taille, une culotte souple solidaire de l'armature. Puis il met en place deux bretelles de retenue, fixées au dosseret. Ses jambes inertes sont placées dans un support adapté à cet effet, et maintenues par un moyen convenable, genre Velcro (marque déposée), par exemple.The present invention provides a global solution to these problems. The user takes place in the device, lowered into a seated position, on a retractable seat. It closes, around his waist, a flexible panty secured to the frame. Then he sets up two retaining straps, attached to the backrest. Its inert legs are placed in a support suitable for this purpose, and maintained by a suitable means, such as Velcro (registered trademark), for example.

A l'aide de deux manivelles, disposées de part et d'autre de l'armature, l'utilisateur relève l'appareil. Dans un premier temps, les jambes avant, situées à l'intérieur de l'armature, se redressent, donnant à l'appareil une position inclinée, favorable à la relaxation de son usager. Dans un second temps, les jambes arrière, situées à l'extérieur de l'armature, se redressent à leur tour, donnant à l'ensemble la position verticale. Pendant cette manœu- vre, le siège s'est escamoté, et l'utilisateur se trouve suspendu par le bassin, en position debout.Using two cranks, placed on either side of the frame, the user raises the device. Initially, the front legs, located inside the frame, straighten, giving the device an inclined position, favorable to the relaxation of its user. In a second step, the rear legs, located outside the frame, straighten in turn, giving the whole vertical position. During this maneuver, the seat is retracted, and the user is suspended by the pelvis, in a standing position.

Pour avancer, il prend appui sur une paire de cannes anglaises, déplaçant le centre de gravité de l'ensemble au-delà de l'axe d'articulation des jambes avant. Celles-ci, synchronisées par une barre transversale, commandent, par un mécanisme approprié, la rotation des jambes arrière vers l'avant. Lorsque le pas est franchi, les jambes arrière reposent sur le sol devant les jambes avant. La poussée suivante ramène les 2 paires de jambes dans leur position d'origine, après avoir franchi un nouveau pas.To move forward, it rests on a pair of English rods, moving the center of gravity of the assembly beyond the axis of articulation of the front legs. These, synchronized by a crossbar, control, by an appropriate mechanism, the rotation of the rear legs forward. When the step is taken, the rear legs rest on the ground in front of the front legs. The next push brings the 2 pairs of legs back to their original position, after taking another step.

Pour tourner, l'utilisateur, effectuant un demi-pas, amène les deux paires de jambes dans une position verticale - parallèles entre elles -, porte le poids de son corps du côté où il désire tourner, effectue la rotation en prenant appui sur les cannes anglaises, et place son appareil en position stable.To turn, the user, taking a half step, brings the two pairs of legs in a vertical position - parallel to each other -, carries the weight of his body on the side where he wishes to turn, performs the rotation by resting on the rods, and places his device in a stable position.

Pour franchir un obstacle - par exemple monter un trottoir, ou un escalier, pour autant que la configuration des lieux et la force de ses bras le lui permettent -, l'utilisateur procède de la même façon que pour tourner. Dans le premier cas, il pose les deux jambes d'un même côté sur le trottoir, et, prenant appui sur les cannes anglaises, y pose les deux autres, puis se remet en position stable. Dans le second cas, il doit obligatoirement prendre appui au moins sur une rampe de l'escalier, ou sur les deux, si celà est possible. Les cannes anglaises sont alors fixées provisoirement sur l'appareil, par un moyen approprié, par exempte des aimants, des clips à ressorts, une bande Velcro (marque déposée).To overcome an obstacle - for example climbing a sidewalk, or a staircase, as far as the configuration of the premises and the strength of his arms allow - the user proceeds in the same way as to turn. In the first case, he puts both legs on the same side on the sidewalk, and, resting on the English canes, puts the other two there, then returns to a stable position. In the second case, it must be supported at least on a staircase ramp, or on both, if this is possible. The English rods are then temporarily fixed on the device, by an appropriate means, for example magnets, spring clips, Velcro tape (registered trademark).

Pour descendre le trottoir ou l'escalier, l'utilisateur prend appui sur les cannes anglaises en avant de sa position, sur le niveau immédiatement inférieur, et fait franchir la dénivellation à l'appareil, dont les deux paires de jambes sont parallèles entre elles.To descend the sidewalk or the staircase, the user takes support on the English canes in front of his position, on the level immediately below, and makes cross the unevenness with the apparatus, whose two pairs of legs are parallel between them .

Selon une variante, destinée à la rééducation des membres inférieurs, les jambes de l'utilisateur reposent normalement sur le sol. Le support de jambes est relevé, et le siège éclipsé en position arrière. La disposition des jambes de l'appareil est différente: une jambe avant est située à l'intérieur de l'armature, ainsi qu'une jambe arrière. Les deux autres jambes sont situées à l'extérieur. Les jambes intérieures, par l'intermédiaire d'un dispositif approprié'(par exemple une fourche), entraînent les jambes de l'utilisateur pendant la marche, le poids de celui-ci leur étant appliqué de manière plus ou moins importante par le règlage de la hauteur de la culotte de sustentation. Les autres fonctions de l'appareil sont inchangées.According to a variant, intended for the rehabilitation of the lower limbs, the legs of the user normally rest on the ground. The leg support is raised, and the seat overshadowed in the rear position. The arrangement of the legs of the device is different: a front leg is located inside the frame, as well as a rear leg. The other two legs are located outside. The inner legs, by means of a suitable device (for example a fork), drive the legs of the user during walking, the weight of the latter being applied to them more or less significantly by the adjustment the height of the lift pants. The other functions of the device are unchanged.

La Fig. 1 représente l'appareil en position d'origine, assise. La Fig. 2 représente l'appareil en position inclinée pour la relaxation de l'usager. La Fig. 3 représente l'appareil en position debout. La Fig. 4 représente l'appareil vu de face, debout.Fig. 1 shows the device in the original position, seated. Fig. 2 shows the device in an inclined position for the relaxation of the user. Fig. 3 shows the device in a standing position. Fig. 4 shows the device seen from the front, standing.

Les Fig. 1, 2, 3 et 4 représentent l'appareil dans la version d'utilisation permanente, destinée aux handicapés moteurs définitifs. Les Fig. 5,6,7 et 8 représentent l'appareil dans la version temporaire, destinée à la rééducation des membres inférieurs.Figs. 1, 2, 3 and 4 represent the device in the permanent use version, intended for the permanently disabled. Figs. 5,6,7 and 8 represent the device in the temporary version, intended for the rehabilitation of the lower limbs.

L'appareil, selon les Fig. 1, 2, 3 et 4, comporte une armature 1, supportant une culotte de soutien 2, un dossier 3, sur lequel sont fixées des bretelles 4 et une têtiere 5, un support 6 pour les jambes inanimées de l'utilisateur, un siège escamotable 7, deux manivelles 24 et 25, une fermeture mécanique 43.The apparatus, according to Figs. 1, 2, 3 and 4, includes a frame 1, supporting support pants 2, a backrest 3, on which straps 4 and a headrest are fixed 5, a support 6 for the inanimate legs of the user, a seat retractable 7, two cranks 24 and 25, a mechanical closure 43.

L'armature 1 est elle-même supportée par quatre jambes latérales 8, 9, 10 et 11, ar- .ticulées en 12, 13, 14 et 15, oscillant sur les tourillons 16, 17 18 et 19.The frame 1 is itself supported by four lateral legs 8, 9, 10 and 11, articulated at 12, 13, 14 and 15, oscillating on the pins 16, 17 18 and 19.

Dans la version permanente, selon les Fig. 1, 2, 3 et 4, ces jambes articulées sont situées respectivement: 8 et 9 à l'intérieur de l'armature 1, 10 et 11 à l'extérieur. Dans la version temporaire, selon les Fig. 5, 6, 7 et 8, elles sont situées respectivement: 8 et 11 à t'intérieur de l'armature 1, 9 et 10 à l'extérieur. Les jambes 8 et 11 sont équipées des dispositifs 20 et 21, lesquels guident les jambes de l'utilisateur à rééduquer.In the permanent version, according to Figs. 1, 2, 3 and 4, these articulated legs are located respectively: 8 and 9 inside the frame 1, 10 and 11 outside. In the temporary version, according to Figs. 5, 6, 7 and 8, they are located respectively: 8 and 11 inside the frame 1, 9 and 10 outside. The legs 8 and 11 are equipped with devices 20 and 21, which guide the legs of the user to be re-educated.

L'appareil, selon la Fig. 1, est remonté en position de relaxation, selon la Fig. 2, par une action simultanée sur les manivelles 24 et 25, lesquelles, entraînant les câbles 26 et 27, par l'intermédiaire des systèmes à roue et vis sans fin 28 et 29, redressent, en premier lieu, les jambes avant 8 et 9. La position inclinée étant atteinte, l'usager redresse complètement l'appareil en position debout, selon la Fig. 3, par la poursuite de l'action sur les manivelles 24 et 25. Durant toute la remontée de l'appareil, et dans les positions inclinée (Fig. 2) et debout (Fig. 3), les systèmes à roue et vis sans fin 28 et 29 assurent la tension des câbles 26 et 27, et garantissent l'impossibilité d'une descente intempestive de l'ensemble.The apparatus, according to FIG. 1, is raised to the relaxed position, according to FIG. 2, by a simultaneous action on the cranks 24 and 25, which, driving the cables 26 and 27, by means of the wheel and worm systems 28 and 29, straighten, first, the front legs 8 and 9 Once the inclined position has been reached, the user completely straightens the device in the upright position, according to FIG. 3, by continuing the action on the cranks 24 and 25. During the entire ascent of the device, and in the inclined (Fig. 2) and upright (Fig. 3) positions, the wheel and auger systems end 28 and 29 ensure the tension of the cables 26 and 27, and guarantee the impossibility of an untimely descent of the assembly.

Selon la Fig. 9, chacune des jambes de l'appareil se termine par une roulette caoutchoutée 30, solidaire d'une chape 31 articulée sur un axe 33, et bloquée par un sabot 32, sous le poids de l'utilisateur, en position debout (Fig. 1), et inclinée (Fig. 2). Les jambes 10 et 11 comportent, en plus, un dispositif composé d'un galet 34, solidaire d'une chape 35, reliée par une tige 36 à une seconde chape 37, commandée par le câble 26, par l'intermédiaire de la poulie 38.According to FIG. 9, each of the legs of the device ends in a rubberized roller 30, integral with a yoke 31 articulated on an axis 33, and locked by a shoe 32, under the weight of the user, in the standing position (Fig. 1), and inclined (Fig. 2). The legs 10 and 11 comprise, in addition, a device composed of a roller 34, integral with a yoke 35, connected by a rod 36 to a second yoke 37, controlled by the cable 26, via the pulley 38.

Entre la chape 37 et la tige 36, enfilé sur celle-ci, se trouve un ressort 39. Le rôle de celui-ci est d'absorber la tension du câble 26, de l'ordre de quelques millimètres, à chaque fois que la jambe 10 passe en avant de la jambe 8. I en est de même pour le câble 27 et les jambes 11 et 9.Between the yoke 37 and the rod 36, threaded thereon, is a spring 39. The role of the latter is to absorb the tension of the cable 26, of the order of a few millimeters, each time that the leg 10 passes in front of leg 8. It is the same for cable 27 and legs 11 and 9.

En position debout, selon la Fig. 1, le câble 26 est tendu, et, tirant sur les chapes 35 et 37, maintient la roulette 30 bloquée contre le sabot 32. Lors de la manoeuvre de la manivelle 24, pour descendre l'appareil, le câble 26 se détend, et libère en premier la pression imposée à la roulette 30 par le galet 34 qui agit sur la longueur de la chape 31 considérée comme une came. Un ressort de rappel 40 facilite cette action. De ce fait, la jambe 10 peut reculer, s'inclinant par son articulation autour de l'axe 14, et provoquant la descente de l'appareil. La continuation de la rotation de la manivelle 24 permet, ensuite, la descente de l'appareil par l'abaissement de la jambe 8, qui s'articule autour de l'axe 12.In the standing position, according to FIG. 1, the cable 26 is stretched, and, pulling on the yokes 35 and 37, keeps the caster 30 locked against the shoe 32. During the operation of the crank 24, to lower the device, the cable 26 relaxes, and first releases the pressure imposed on the roller 30 by the roller 34 which acts on the length of the yoke 31 considered as a cam. A return spring 40 facilitates this action. Therefore, the leg 10 can move back, tilting by its articulation around the axis 14, and causing the descent of the device. Continuation of the rotation of the crank 24 then makes it possible to lower the device by lowering the leg 8, which is articulated around the axis 12.

L'appareil en position assise selon la Fig 1, comprend un siège escamotable 7, soutenu par le support 6 destiné aux jambes inanimées de l'usager. Lors de l'opération de remontée, en position de relaxation, selon la Fig. 2, le siège 7 et le support 6 conservent leurs positions respectives par le blocage de la commande 41. Si l'usager désire quitter la position assise (Fig. 1) pour prendre directement la position debout (Fig. 3), la commande 41 est débloquée; le siège rigide 7 s'abaisse devant le support 6, lequel s'escamote derriére lui.The device in the seated position according to FIG 1, comprises a retractable seat 7, supported by the support 6 intended for the inanimate legs of the user. During the ascent operation, in the relaxation position, according to FIG. 2, the seat 7 and the support 6 retain their respective positions by blocking the control 41. If the user wishes to leave the seated position (Fig. 1) to directly take up the standing position (Fig. 3), the control 41 is unlocked; the rigid seat 7 lowers in front of the support 6, which retracts behind it.

Les bretelles 4, selon la Fig. 4, ainsi que la culotte de soutien 2, sont rendues solidaires de l'armature 1 par des fermetures du type de celles des ceintures de sécurité automobiles, par exemple.The straps 4, according to FIG. 4, as well as the support pants 2, are made integral with the frame 1 by closures of the type of those of automobile seat belts, for example.

La fermeture mécanique 43, en deux parties articulées sur l'armature 1 par des charnières, maintient la rigidité nécessaire de cette dernière lorsqu'elle est refermée et verrouillée par le mécanisme 42. Sa fermeture, précédée par celle de la culotte de soutien 2 et celle des bretelles 4, est indispensable pour pouvoir actionner les manivelles de remontée 24 et 25, par sécurité.The mechanical closure 43, in two parts articulated on the frame 1 by hinges, maintains the necessary rigidity of the latter when it is closed and locked by the mechanism 42. Its closure, preceded by that of the support pants 2 and that of the shoulder straps 4 is essential in order to be able to actuate the lifting cranks 24 and 25, for safety.

Claims (9)

1) Appareil destiné à permettre aux handicapés moteurs de se déplacer en position debout, caractérisé en ce qu'il comporte une armature 1, supportant une culotte de soutien 2, un dossier 3, des bretelles 4 et une têtière 5, un support de jambes inanimées 6, solidaire d'un siège escamotable 7, le tout étant supporté par des jambes latérales 8, 9, 10 et 11 articulées et guidées sur l'armature 1.1) Device intended to allow the disabled to move in a standing position, characterized in that it comprises a frame 1, supporting a support panty 2, a backrest 3, suspenders 4 and a headrest 5, a leg support inanimate 6, integral with a retractable seat 7, the whole being supported by lateral legs 8, 9, 10 and 11 articulated and guided on the frame 1. 2) Appareil selon la revendication 1, caractérisé en ce que l'utilisateur est suspendu dans la culotte de soutien 2, et retenu par les bretelles 4, en position debout.2) Apparatus according to claim 1, characterized in that the user is suspended in the support pants 2, and retained by the straps 4, in the standing position. 3) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce que, dans une version destinée aux handicapés permanents, les jambes 8 et 9 sont situées à l'intérieur de l'armature 1, et les jambes 10 et 11 à l'extérieur, alors que, dans une autre version, destinée aux handicapés temporaires, les jambes 8 et 11 sont situées à l'intérieur de l'armature 1, les jambes 9 et 10 étant à l'extérieur.3) Apparatus according to any one of the preceding claims, characterized in that, in a version intended for the permanently disabled, the legs 8 and 9 are located inside the frame 1, and the legs 10 and 11 to l outside, while, in another version, intended for the temporarily disabled, the legs 8 and 11 are located inside the frame 1, the legs 9 and 10 being outside. 4) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce que les jambes 8 et 9 entraînent, par un mécanisme similaire à deux roues dentées, les jambes 10 et 11 en sens inverse de leur mouvement d'oscillation autour des tourillons 16, 17, 18 et 19, et vice-versa.4) Apparatus according to any one of the preceding claims, characterized in that the legs 8 and 9 drive, by a mechanism similar to two toothed wheels, the legs 10 and 11 in the opposite direction of their oscillating movement around the pins 16 , 17, 18 and 19, and vice versa. 5) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce que les jambes 8,9,10 et 11, articulées aux points 12, 13. 14 et 15, permettent la descente en position assise, et la remontée de l'appareil en position debout, par la commande des câbles 26 et 27.5) Apparatus according to any one of the preceding claims, characterized in that the legs 8, 9, 10 and 11, articulated at points 12, 13. 14 and 15, allow the descent into a seated position, and the ascent of the device in standing position, by controlling cables 26 and 27. 6) Appareil selon la revendication 5, caractérisé en ce que la manoeuvre des manivelles 24 et 25, commandant les câbles 26 et 27, par l'intermédiaire des systèmes à roue et vis sans fin 28 et 29, permet l'arrêt de l'appareil dans n'importe quelle position, pendant la montée ou la descente.6) Apparatus according to claim 5, characterized in that the operation of the cranks 24 and 25, controlling the cables 26 and 27, via the wheel and worm systems 28 and 29, allows the stopping of the device in any position, during ascent or descent. 7) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce qu'à l'extrémité de chacune des jambes 8, 9, 10 et 11, la roulette 30, solidaire de la chape 31, est bloquée par le sabot 32, en position debout, sous le poids de l'utilisateur, et qu'elle tourne d'une fraction de tour à chaque pas, lorsque la jambe correspondante quitte le sol.7) Apparatus according to any one of the preceding claims, characterized in that at the end of each of the legs 8, 9, 10 and 11, the caster 30, integral with the yoke 31, is blocked by the shoe 32, in a standing position, under the weight of the user, and that it rotates a fraction of a turn with each step, when the corresponding leg leaves the ground. 8) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce que le siège 7, soutenu par le support 6 en position assise, s'escamote automatiquement pendant la remontée en position debout, si la commande de blocage 41 n'a pas été actionnée.8) Apparatus according to any one of the preceding claims, characterized in that the seat 7, supported by the support 6 in the seated position, automatically retracts during the ascent to the standing position, if the locking control 41 has not been activated. 9) Appareil selon l'une quelconque des revendications précédentes, caractérisé en ce que la marche est obtenue par poussée sur des cannes anglaises, ou tout autre accessoire similaire, à l'exclusion de toute autre source d'énergie ou aide extérieure, ce qui a pour effet de déplacer vers l'avant le centre de gravité de l'ensemble, au-delà du polygone de sustentation délimité par les jambes positionnées à l'avant.9) Apparatus according to any one of the preceding claims, characterized in that walking is obtained by pushing on rods, or any other similar accessory, to the exclusion of any other source of energy or external aid, which has the effect of moving the center of gravity of the assembly forwards, beyond the support polygon delimited by the legs positioned at the front.
EP87400384A 1986-02-17 1987-02-13 Autonomous apparatus permitting the standing-up and moving-on, by way of oscillation, of the permanently or temporarily motorically handicapped Withdrawn EP0237395A1 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR8602067A FR2594326A1 (en) 1986-02-17 1986-02-17 AUTONOMOUS APPARATUS FOR PERMANENT STATION AND DISPLACEMENT OF PERMANENT AND TEMPORARY MOTOR DISABILITIES BY PENDULUM MARKET

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EP0237395A1 true EP0237395A1 (en) 1987-09-16

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EP87400384A Withdrawn EP0237395A1 (en) 1986-02-17 1987-02-13 Autonomous apparatus permitting the standing-up and moving-on, by way of oscillation, of the permanently or temporarily motorically handicapped

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EP (1) EP0237395A1 (en)
FR (1) FR2594326A1 (en)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3911240A1 (en) * 1989-04-07 1990-10-11 Hessabi Iradj Device for movement of patients with a walking impediment
WO1990011742A2 (en) * 1989-04-07 1990-10-18 Iradj Hessabi Gait and locomotion aid
ES2039305A1 (en) * 1992-02-12 1993-09-16 Vazquez Lopez Antonio Orthopaedic device to help invalids sit or stand up.
FR2729562A1 (en) * 1995-01-19 1996-07-26 Guatteri Fabien Trolley providing mobility for paraplegic person
GB2352391A (en) * 1999-07-28 2001-01-31 Paul Hilary Pinter Wall-mounted invalid standing frame
WO2001091675A1 (en) * 2000-05-30 2001-12-06 Firma Ortopedyczna 'medort' S.A. Rehabilitation device for persons with paresis of lower limps enabling them to walk
WO2008103052A2 (en) * 2007-02-19 2008-08-28 Innowalk As Training apparatus for the disabled
CN105596158A (en) * 2016-01-28 2016-05-25 戴星亮 Intelligent wheelchair for medical treatment
CN106264908A (en) * 2016-07-26 2017-01-04 魏会芳 A kind of novel patient's moving bearing device
CN106726373A (en) * 2017-01-09 2017-05-31 中州大学 A kind of interim walking auxiliary robot
CN107982867A (en) * 2017-12-29 2018-05-04 力迈德医疗（广州）有限公司 Four limbs linkage image training robot
US10143606B2 (en) 2013-02-15 2018-12-04 Debby Elnatan Sit-to-stand apparatus and method
WO2021084579A1 (en) * 2019-10-28 2021-05-06 マコトバイオニクス株式会社 Wheelchair that allows walking

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EP0009260A1 (en) * 1978-09-25 1980-04-02 Eugenia A. Ledesky Apparatus for assisting a semi-invalid person to walk

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US1611807A (en) * 1926-01-05 1926-12-21 Bergh Martha Exercising device
US2572149A (en) * 1949-06-03 1951-10-23 Sylvia Hind Wheel chair attachment
US3002761A (en) * 1957-05-20 1961-10-03 Olle M Sundberg Walker
US3137869A (en) * 1962-05-18 1964-06-23 Lenard W Johnson Wheel chair with power lift means
US3249368A (en) * 1964-06-24 1966-05-03 Univ New York Ambulating device for paraplegics
US3884495A (en) * 1974-07-01 1975-05-20 Michael F Petock Walker
US4141094A (en) * 1976-10-27 1979-02-27 Reme Enterprises, Inc. Increased mobility apparatus for the disabled
EP0009260A1 (en) * 1978-09-25 1980-04-02 Eugenia A. Ledesky Apparatus for assisting a semi-invalid person to walk

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3911240A1 (en) * 1989-04-07 1990-10-11 Hessabi Iradj Device for movement of patients with a walking impediment
WO1990011742A2 (en) * 1989-04-07 1990-10-18 Iradj Hessabi Gait and locomotion aid
WO1990011742A3 (en) * 1989-04-07 1990-11-29 Iradj Hessabi Gait and locomotion aid
ES2039305A1 (en) * 1992-02-12 1993-09-16 Vazquez Lopez Antonio Orthopaedic device to help invalids sit or stand up.
FR2729562A1 (en) * 1995-01-19 1996-07-26 Guatteri Fabien Trolley providing mobility for paraplegic person
GB2352391A (en) * 1999-07-28 2001-01-31 Paul Hilary Pinter Wall-mounted invalid standing frame
WO2001091675A1 (en) * 2000-05-30 2001-12-06 Firma Ortopedyczna 'medort' S.A. Rehabilitation device for persons with paresis of lower limps enabling them to walk
US6770040B2 (en) * 2000-05-30 2004-08-03 Barbara Perner Rehabilitation device for persons with paresis of lower limbs enabling them to walk
WO2008103052A2 (en) * 2007-02-19 2008-08-28 Innowalk As Training apparatus for the disabled
WO2008103052A3 (en) * 2007-02-19 2008-12-31 Innowalk As Training apparatus for the disabled
US8454541B2 (en) 2007-02-19 2013-06-04 Made For Movement Group As Training apparatus for the disabled
US9642763B2 (en) 2007-02-19 2017-05-09 Made For Movement Group As Training apparatus for the disabled
US10143606B2 (en) 2013-02-15 2018-12-04 Debby Elnatan Sit-to-stand apparatus and method
CN105596158A (en) * 2016-01-28 2016-05-25 戴星亮 Intelligent wheelchair for medical treatment
CN106264908A (en) * 2016-07-26 2017-01-04 魏会芳 A kind of novel patient's moving bearing device
CN106264908B (en) * 2016-07-26 2018-02-06 尚东平 A kind of new patient's moving bearing device
CN106726373A (en) * 2017-01-09 2017-05-31 中州大学 A kind of interim walking auxiliary robot
CN107982867A (en) * 2017-12-29 2018-05-04 力迈德医疗（广州）有限公司 Four limbs linkage image training robot
WO2021084579A1 (en) * 2019-10-28 2021-05-06 マコトバイオニクス株式会社 Wheelchair that allows walking

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