Automated orthotic device with treatment regimen and method for using the same

• US 9,839,553 B2
• Filed: 03/14/2013
• Issued: 12/12/2017
• Est. Priority Date: 06/20/2012
• Status: Active Grant

• Current Assignee: Ottobock SE & Co. KGaA
• Original Assignee: Bio Cybernetics International
• Inventors: Bannister, Ed, Martin, Michael L., Chan, Sai Chung, Waidelich, Matthew V., Ghosh, Dipankar, Lucero, Roberto A., Villa, Oscar A., Berger, John W., Barnhouse, Jeffery W.
• Primary Examiner(s): Lewis, Kim M
• Application Number:
  US13/829,991
• Publication Number:
  US 20130345612A1
• Time in Patent Office: 1,734 Days
• Field of Search: 602 19, 602 5, 606204, 601134, 601142-144, 601149, 601152, 128 961, 128 971, 128 981, 128 991, 1281001, 1281011
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/4833 Assessment of subject's compliance to treatment
• CPC Class Codes: A61F 2005/0188 having pressure sensors
• CPC Class Codes: A61F 5/02 Orthopaedic corsets arm-rests for use as writing aids B43L15/00
• CPC Class Codes: A61F 5/028 Braces for providing support to the lower back, e.g. lumbo sacral supports
• CPC Class Codes: A61H 2011/005 with belt or strap expanding and contracting around an encircled body part
• CPC Class Codes: A61H 2201/501 connected to external computer devices or networks
• CPC Class Codes: A61H 2230/625 used as a control parameter for the apparatus
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising

Abstract

An automated orthotic device with a treatment regimen and a method for using an automated orthotic device with a treatment regimen to provide a plurality of prescribed tension settings. The orthotic device may comprise a body brace, a controller, a data storage means, and a communication means to address the problem of patients being required to visit the physician'"'"'s office every time an adjustment must be made in the prescribed tension setting in their automated orthotic device. In one embodiment, a plurality of prescribed tension settings in the automated orthotic device are sorted so that as the patient'"'"'s condition improves, the next prescribed tension setting in the treatment regimen may be applied. In another embodiment, the physician is allowed to edit or supplement a patient'"'"'s treatment regimen remotely by connecting to the automated orthotic device over a network.

Claims

1. An automated orthotic device with a treatment regimen program, the device comprising:

a body brace configured to be worn around the trunk of a patient;

a data storage device;

a controller;

a patient position detection device or a posture detection device configured to automatically determine whether the patient is standing or sitting;

wherein the data storage device stores a treatment regimen program that has been determined by a physician, the treatment regimen being a single prescribed tension setting or comprising a plurality of prescribed tension settings to be carried out in a specified order;

wherein the patient position detection device is configured to automatically adjust the tension setting in response to a change in a position of the patient;

wherein the controller is configured to carry out the treatment regimen program by causing the body brace to apply each of the plurality of prescribed tension settings according to the specified order of the treatment regimen program or to automatically set the orthotic device to different tension settings when the patient is sitting and when the patient is standing.

2. The automated orthotic device of claim 1, wherein the treatment regimen program further comprises a plurality of set periods of time, each of set periods of time of the plurality of set periods of time being associated with at least one of the plurality of prescribed tension settings, and wherein the controller is further configured to carry out the treatment regimen program by:

causing the body brace to apply a first prescribed tension setting for the set period of time associated with the first prescribed tension setting, and then

automatically applying a next prescribed tension setting for the set period of time associated with the next prescribed tension setting until the treatment regimen program is completed and each of the plurality of prescribed tension settings has been applied according to the specified order of the treatment regimen program.

3. The automated orthotic device of claim 1, wherein the controller is configured to apply a first one of the plurality of prescribed tension settings until a user inputs a command to switch to a next prescribed tension setting until the treatment regimen program is completed and each of the plurality of prescribed tension settings has been applied according to the specified order of the treatment regimen program.

4. The automated orthotic device of claim 1, wherein the body brace and controller are further configured to detect and store brace usage data on the data storage device, wherein the brace usage data includes data on the length of time the patient has worn the automated orthotic device and data on the tension settings applied while being worn.

5. The automated orthotic device of claim 4, wherein the treatment regimen program further comprises a plurality of set periods of time, each of the plurality of set periods of time being associated with at least one of the plurality of prescribed tension settings, wherein each set period of time specifies a period of time that the automated orthotic device must be worn by the patient at a prescribed tension setting, and wherein the controller is further configured to carry out the treatment regimen program by:

causing the body brace to apply a first prescribed tension setting until the patient has worn the automated orthotic device at the first prescribed tension setting for the time period specified in the treatment regimen program, and then

automatically applying the next prescribed tension setting until the patient has worn the automated orthotic device at the next prescribed tension setting for the period of time specified in the treatment regimen program, and

automatically advancing to the next prescribed tension setting until the treatment regimen program is completed and each of the plurality of prescribed tension settings has been applied according to the specified order of the treatment regimen program.

6. The automated orthotic device of claim 1, further comprising a network connection device, wherein the network connection device allows the controller to receive data from a network and transmit data to the network.

7. The automated orthotic device of claim 6, wherein the controller is configured to receive a treatment regimen program from a remote computer through the network connection device.

8. The automated orthotic device of claim 1, wherein the controller is configured to automatically cause the body brace to apply a first position-dependent tension setting when the patient is in a first position, and a second tension position-dependent setting when the patient is in a second position.

9. The automated orthotic device of claim 1, wherein the patient position detection device is an accelerometer.

10. An automated orthotic device with a treatment regimen program, the device comprising:

a body brace comprising two brace segments and an automatic brace tensioning device, the two brace segments being configured to be fitted around the trunk of a patient, the automatic brace tensioning device adjustably connecting the two brace segments to each other;

a data storage device configured to store a treatment regimen program;

a measuring device configured to automatically detect whether the patient is sitting or standing;

a controller configured to control the automatic brace tensioning device under the treatment regimen program to automatically move the two brace segments toward and away from each other in a manner varying tension in the body brace, the controller configured to automatically adjust the body brace to a first adjusted position upon the measuring device detecting that the patient is standing, the controller configured to automatically adjust the body brace to a second adjusted position upon the measuring device detecting that the patient is sitting.

11. The automated orthotic device of claim 10, wherein the two brace segments are moved by tightening or loosening a cable extending between the two brace segments.

12. The automated orthotic device of claim 10, wherein the automatic brace tensioning device is motorized.

13. The automated orthotic device of claim 10, wherein the two brace segments each have a first end and a second end, the first ends being removably securable to each other and the second ends being connected by the automatic brace tensioning device.

14. The automated orthotic device of claim 10, wherein the controller is configured to automatically cause the body brace to apply a first position-dependent tension setting when the patient is in a first position, and a second tension position-dependent setting when the patient is in a second position.

15. An automated orthotic device with a treatment regimen program, the device comprising:

a body brace, comprising;

a plurality of brace segments;

a plurality of pulleys positioned on the brace segments;

a cable positioned around the plurality of pulleys, the cable having an operative length;

a motor configured to adjust the operative length of the cable;

a patient position detection device or a patient posture detection device configured to automatically determine whether a patient wearing the body brace is standing or sitting;

a data storage device configured to store a treatment regimen program;

a controller configured to control the motor using the treatment regimen program to automatically adjust the operative length of the cable, the controller configured to automatically adjust the body brace based at least in part on the determined standing or sitting position of the patient.

16. The automated orthotic device of claim 15, wherein the motor adjusts the operative length of the cable by reeling or unreeling the cable.

17. The automated orthotic device of claim 15, wherein the cable is reeled around a motor shaft.

18. The automated orthotic device of claim 15, wherein the motor adjusts the operative length of the cable by turning a plurality of gears.

19. The automated orthotic device of claim 18, wherein the plurality of gears comprises at least one worm gear and at least one worm.

20. The automated orthotic device of claim 19, wherein the cable is wound around at least one spool coupled to the at least one worm gear.

21. The automated orthotic device of claim 15, further comprising a plurality of plates attached to the plurality of brace segments, the plurality of pulleys being mounted to the plurality of plates.